Individual
DR. PEYTON NICOLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5400 N OAK TRFY STE 200, KANSAS CITY, MO 64118-4690
(816) 453-0900
(816) 453-3895
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024030448
MO
Other
Enumeration date
06/10/2021
Last updated
08/16/2024
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