Individual
RUPAL BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 439-1131
Mailing address
750 MORTON BLVD, HAZARD, KY 41701-9469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3153
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
05/28/2015
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