Individual
KEVIN S BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 S STATE ST, BAYHEALTH MEDICAL CENTER/DEPT. OF ANESTHESIA, DOVER, DE 19901-3530
(302) 744-7089
Mailing address
115 TILNEY ST, MILTON, DE 19968-1638
(504) 715-2684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00507
DE
Other
Enumeration date
08/01/2006
Last updated
07/21/2022
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