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Individual

MR. JOHN KELLY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT (R,CT)

Contact information

Practice address
1661 KINSMERE DR, TRINITY, FL 34655-4528
(727) 236-5309
Mailing address
1661 KINSMERE DR, TRINITY, FL 34655-4528
(727) 236-5309

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CRT52901
FL

Other

Enumeration date
09/29/2008
Last updated
09/29/2008
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