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Individual

KACEY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
2200 FOREST RIDGE PKWY, NEW CASTLE, IN 47362-2943
(765) 521-1131
Mailing address
2006 S EBRIGHT ST, MUNCIE, IN 47302-4341

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002039A
IN

Other

Enumeration date
05/20/2026
Last updated
05/20/2026
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