Individual
AUTUMN BENNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PORTAGE ST, KALAMAZOO, MI 49007-4929
(815) 545-7439
Mailing address
201 E SOUTH ST, KALAMAZOO, MI 49007-4881
(815) 545-7439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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