Individual
SUSAN ELIZABETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 ROCKCREEK PKWY, KANSAS CITY, MO 64117-2536
(816) 201-2273
Mailing address
901 W 112TH ST, KANSAS CITY, MO 64114-5205
(816) 942-5886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112431
MO
363LF0000X
Family Nurse Practitioner
44573
KS
Other
Enumeration date
02/22/2007
Last updated
09/03/2019
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