Individual
DEBORAH L BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
604 N WASHINGTON ST, COUNCIL GROVE, KS 66846-1422
(620) 767-5126
(620) 767-6910
Mailing address
600 N WASHINGTON ST, COUNCIL GROVE, KS 66846-1422
(620) 767-5126
(620) 767-6910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
T-00882
KS
Other
Enumeration date
09/25/2006
Last updated
10/31/2018
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