Individual
EVAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
(859) 277-6143
(859) 277-8659
Mailing address
1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
(859) 277-6143
(859) 277-8659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
12/10/2020
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