Individual
BENNETT KOBITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA, CST
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 737-5720
Mailing address
7656 OLD ROCKBRIDGE DR, ELKRIDGE, MD 21075-6166
(831) 359-1859
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0002781
CO
246ZS0410X
Surgical Technologist
ST.0005969
CO
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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