Individual
MRS. KERI SUE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 329-8506
(573) 329-8521
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 329-8506
(573) 329-8521
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
120447
MO
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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