Individual
CONNOR WILLIAM BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
2201 KIMBALL AVE, MANHATTAN, KS 66502-3314
(785) 532-7161
Mailing address
2221 SNOWBIRD DR, MANHATTAN, KS 66502-1943
(785) 410-7528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00977
KS
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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