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1063404127
KELLY A. BENNETT
LUBBOCK, TX
NPI
1063404127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K0417)
Enumeration Date
2005-08-16
Last Update Date
2020-01-10
Business Address
KELLY A. BENNETT M.D.
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-2757
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Mailing Address
KELLY A. BENNETT M.D.
3601 4TH ST
LUBBOCK, TX 79430-8143
Phone number: 806-743-2757
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