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NPI Code Detail

MEDICARE: BENJAMIN DORSETT PA-C

MEDICARE: BENJAMIN DORSETT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15-03176KS

General Provider Information

NPI Number : 1033638820
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN DORSETT PA-C
Provider Business Mailing Address
First Line : 109 SHADY LN
Second Line :
City : OSAWATOMIE
State : KS
Zip : 66064-1713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4951 W 18TH ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2090
Country : US
Telephone Number : 785-841-6540
Fax Number : 785-841-3129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2017
Last Update Date : 12/15/2025

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Directions to “ BENJAMIN DORSETT PA-C” Practice Location

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