Individual
MRS. JENNIFER LEAH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M.
Contact information
Practice address
811 S W S YOUNG DR, KILLEEN, TX 76543-4801
(254) 690-5900
(254) 690-5908
Mailing address
433 COUNTY ROAD 3355 E, KEMPNER, TX 76539
(512) 932-2238
(512) 932-8075
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
02003
TX
Other
Enumeration date
04/18/2007
Last updated
09/02/2009
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