Organization
KRISTIN M BENNETT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN M BENNETT M.D. (PRESIDENT)
(209) 952-0483
Entity
Organization
Contact information
Practice address
3132 W MARCH LN, 2, STOCKTON, CA 95219-2354
(209) 952-0483
(209) 478-5785
Mailing address
3132 W MARCH LN, 2, STOCKTON, CA 95219-2354
(209) 952-0483
(209) 478-5785
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A94636
CA
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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