Individual
LISA ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, FNP-BC
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
Mailing address
249 VILLAGE CENTER RD, HARLAN, KY 40831-1800
(606) 273-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006835
KY
Other
Enumeration date
04/13/2011
Last updated
09/23/2021
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