Individual
STORMEE KAE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SEEIP, 15 E 600 N, CASTLE DALE, UT 84513
(435) 381-2667
(435) 381-2104
Mailing address
PO BOX 208, CASTLE DALE, UT 84513-0208
(435) 381-2667
(435) 381-2104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631372-3012
UT
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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