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1902879794
KENNETH BENTLEY
BRIDGETON, MO
NPI
1902879794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MO R5N44)
Enumeration Date
2006-02-10
Last Update Date
2011-07-08
Business Address
-- KENNETH BENTLEY M.D.
12303 DEPAUL DR
BRIDGETON, MO 63304
Phone number: 314-344-6000
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Mailing Address
-- KENNETH BENTLEY M.D.
999 EXECUTIVE PARKWAY DR SUITE 210
SAINT LOUIS, MO 63141-6336
Phone number: 314-514-6000
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