Individual
KRISTEN F BENNETHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 MARYLAND RD, SUITE 20, WILLOW GROVE, PA 19090-1700
(215) 830-8700
(215) 830-8715
Mailing address
2400 MARYLAND RD, SUITE 20, WILLOW GROVE, PA 19090-1700
(215) 830-8700
(215) 830-8715
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-051528
PA
Other
Enumeration date
08/11/2006
Last updated
01/12/2016
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