Individual
KYLE MAGEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 CROSS PARK CT, GREENVILLE, SC 29605-4263
(864) 797-7035
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39234
SC
208M00000X
Hospitalist Physician
39234
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392346
—
SC
Enumeration date
04/16/2013
Last updated
10/19/2021
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