Individual
KRISTIN SIMMONS BENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-4814
Mailing address
115 COLLEGE ST, CLARKSVILLE, VA 23927-9125
(434) 374-4814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101285004
VA
207Q00000X
Family Medicine Physician
MD464151
PA
207V00000X
Obstetrics & Gynecology Physician
390200000X.
PA
Other
Enumeration date
04/08/2014
Last updated
05/30/2025
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