Individual
RYLEE GEORGINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
1352 N DOWNING ST, DENVER, CO 80218-2176
(850) 276-5096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007326
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363A00000X
DENVER HEALTH
CO
Enumeration date
11/09/2021
Last updated
05/09/2024
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