Individual
MRS. KIMBERLY LYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 SPROUL RD, SUITE 206, BROOMALL, PA 19008-3509
(610) 284-0200
(610) 353-7932
Mailing address
2000 SPROUL RD, SUITE 206, BROOMALL, PA 19008-3509
(610) 284-0200
(610) 353-7932
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP012058
PA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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