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NPI Code Detail

MEDICARE: MRS. KARA LYNN BENNIS

MEDICARE: MRS. KARA LYNN BENNIS
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
1163WC1500XCommunity Health Registered NurseRN23157NV

General Provider Information

NPI Number : 1275955171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARA LYNN BENNIS
Provider Business Mailing Address
First Line : PO BOX 3902
Second Line :
City : LAS VEGAS
State : NV
Zip : 89127-3902
Country : US
Telephone Number : 702-759-0769
Fax Number : 702-759-1431
Provider Business Practice Location Address
First Line : 625 SHADOW LN STE 106
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-759-0769
Fax Number : 702-759-1431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 01/10/2014

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Directions to “ MRS. KARA LYNN BENNIS ” Practice Location

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