Individual
MRS. BETH ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UNIV OF KY PEDIATRIC GASTROENTEROLOGY, 138 LEADER AVE, LEXINGTON, KY 40506-0001
(859) 218-6192
(859) 257-7799
Mailing address
UNIV OF KY PEDIATRIC GASTROENTEROLOGY, 138 LEADER AVE., LEXINGTON, KY 40506-0001
(859) 218-6192
(859) 257-7799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1117376
KY
363L00000X
Nurse Practitioner
3008418
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3008418
KY
Other
Enumeration date
12/11/2013
Last updated
10/02/2019
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