Individual
DR. KATELAND BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 596-5421
Mailing address
PO BOX 260, CLINTON, NC 28329-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00668
NC
Other
Enumeration date
03/05/2018
Last updated
07/01/2021
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