Individual
ASHLEY J BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Mailing address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64070196
—
KY
Enumeration date
07/13/2005
Last updated
07/08/2007
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