Individual
DR. KATHY R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 454-9000
(208) 454-9092
Mailing address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 454-9000
(208) 454-9092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA532
ID
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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