Individual
KATE BENNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 W SHAWNEE ST, MUSKOGEE, OK 74401-2275
(918) 444-5464
Mailing address
2400 W SHAWNEE ST, MUSKOGEE, OK 74401-2275
(918) 444-5464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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