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Individual

DR. KANDICE KRISTEN WAUL-BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5831 FORWARD AVE STE 1037, PITTSBURGH, PA 15217-2301
(412) 446-8058
Mailing address
5831 FORWARD AVE STE 1037, PITTSBURGH, PA 15217-2301
(412) 446-8058

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD459240
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103374197
PA
Enumeration date
06/15/2013
Last updated
01/08/2024
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