KENNETH W BENNETT

MOBILE, AL
NPI1942254263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1072095)
Additional Taxonomies207L00000X Anesthesiology
(Licence: AL  1-072095)
Enumeration Date2006-05-20
Last Update Date2016-09-21
Business Address
-- KENNETH W BENNETT CRNA
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-432-4497
Mailing Address
-- KENNETH W BENNETT CRNA
PO BOX 934369
ATLANTA, GA 31193-0001
Phone number: 800-897-6169