Individual
DR. KERRY G. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
123 SUMMER ST, SUITE 210, WORCESTER, MA 01608-1216
(508) 368-3190
(508) 368-3193
Mailing address
123 SUMMER ST, SUITE 210, WORCESTER, MA 01608-1216
(508) 368-3190
(508) 368-3193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
161131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034723A
—
MA
Enumeration date
07/20/2005
Last updated
02/18/2016
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