Individual
MS. KIMBERLY ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PA-C
Contact information
Practice address
830 S LIMESTONE, LEXINGTON, KY 40536-0284
(859) 323-5823
(859) 323-1119
Mailing address
1573 LEESBURG PK, GEORGETOWN, KY 40324
(859) 327-4709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA132
KY
363LF0000X
Family Nurse Practitioner
Primary
3001937
KY
Other
Enumeration date
12/22/2005
Last updated
03/07/2018
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