| NPI | 1225019318 |
|---|---|
| Other Name | KENNETH J BENNETT MD |
| Entity Type | Organization |
| Authorized Contact | KENNETH J BENNETT President 314-569-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO R4131) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-11-01 |