Individual
KAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1423 S PARK ST, MADISON, WI 53715-2105
(608) 280-3161
Mailing address
25 KESSEL CT STE 105, STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
73589
WI
Other
Enumeration date
05/17/2007
Last updated
09/08/2016
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