Individual
KAITLYN AMANDA BENNORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 COOL SPRINGS BLVD, FRANKLIN, TN 37067-2677
(615) 771-7546
Mailing address
605 PLOUGHMANS BEND DR, FRANKLIN, TN 37064-4259
(615) 428-6123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
01/02/2022
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