Individual
KAREN S. CLARKE-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1114 TOWN CENTER BLVD, SUITE G, ODENTON, MD 21113
(410) 672-2700
(410) 672-2707
Mailing address
324 MAIN ST, 1222, LAUREL, MD 20725-7571
(410) 672-2700
(410) 672-2707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0066498
MD
Other
Enumeration date
10/09/2007
Last updated
07/17/2014
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