Individual
AMY N BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7707 PARAGON RD, CENTERVILLE, OH 45459-4041
(937) 208-6920
Mailing address
7707 PARAGON RD, CENTERVILLE, OH 45459-4041
(937) 208-6920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.016437
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
04/13/2026
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