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NPI Code Detail

MEDICARE: DR. PAUL STEPHEN BENNETTS CRNA, PHD

MEDICARE:  DR. PAUL STEPHEN BENNETTS  CRNA, PHD
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
1367500000XCertified Registered Nurse Anesthetist54471KS

General Provider Information

NPI Number : 1265402747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL STEPHEN BENNETTS CRNA, PHD
Provider Business Mailing Address
First Line : PO BOX 411851
Second Line :
City : KANSAS CITY
State : MO
Zip : 64141-1851
Country : US
Telephone Number : 913-588-3736
Fax Number :
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-3736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/30/2014

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Directions to “ DR. PAUL STEPHEN BENNETTS CRNA, PHD” Practice Location

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