Organization
BENNETT SUPPLY AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNELE D TAYLOR APRN (OWNER)
(316) 393-5256
Entity
Organization
Contact information
Practice address
245 N WACO ST STE 220, WICHITA, KS 67202-1102
(316) 722-2138
(833) 464-2530
Mailing address
245 N WACO ST STE 220, WICHITA, KS 67202-1102
(316) 722-2138
(800) 735-8893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
02/10/2025
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