Individual
ALLISAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 SPRUCE ST, NEODESHA, KS 66757-1197
(620) 202-2085
Mailing address
302 SPRUCE ST, NEODESHA, KS 66757-1197
(620) 202-2085
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
KS
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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