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NPI Code Detail

MEDICARE: KIMBERLY BENNETT LLBSW

MEDICARE: KIMBERLY BENNETT LLBSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1447630611
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY BENNETT LLBSW
Provider Business Mailing Address
First Line : G3169 BEECHER RD
Second Line :
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-232-2766
Fax Number :
Provider Business Practice Location Address
First Line : G3169 BEECHER RD
Second Line :
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-232-2766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2015
Last Update Date : 04/21/2026

Similar Medicare Providers

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1891741443 — MRS. ANJANA BHRANY M.D.
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48532-3611
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1225068422 — MS. JAMIE R TARROW MSW
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1316972581 — DR. JOHN R SOCEY D.O.
Practice Location Address:
G3169 BEECHER RD , SUITE 102
FLINT, MI
48532-3611
Practice Phone: 810-767-1420
Practice Fax: 810-767-4685

Directions to “ KIMBERLY BENNETT LLBSW” Practice Location

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