Individual
DR. LORI KAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2200
(304) 526-2139
Mailing address
1340 HAL GREER BLVD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050258000
—
WV
05
—
0525962
—
OH
01
—
0734023
MEDICARE PIN FOR OCCU MED
WV
05
—
64699317
—
KY
01
—
P00272976
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
01/26/2006
Last updated
05/19/2008
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