Individual
MS. KATHRYN ANESA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
22 RED JACKET STREET, DANSVILLE, NY 14437-0491
(585) 335-5200
(585) 335-5037
Mailing address
PO BOX 499, 22 RED JACKET STREET, DANSVILLE, NY 14437-0491
(585) 335-5200
(585) 335-5037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
382968
NY
363LP0200X
Pediatric Nurse Practitioner
382968
NY
Other
Enumeration date
06/11/2019
Last updated
04/28/2021
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