Kerry D. Bennett in Muncie - Sports Medicine
Kerry D. Bennett - NPI 1689680563
Kerry D. Bennett is a Sports Medicine in Muncie, Indiana. Kerry D. Bennett practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kerry D. Bennett is 1689680563. The last update date is 2023-11-13.
Kerry D. Bennett's current location address is 3600 W Bethel Ave, Muncie, Indiana. You can contact this provider via phone number 7652847738 and fax number 7652133713. The mailing address for Kerry D. Bennett is 3600 W Bethel Ave, Muncie, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry D. Bennett |
|---|---|
| Address | 3600 W Bethel Ave, Muncie, Indiana |
| Phone Number | 7652847738 |
| Fax Number | 7652133713 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1689680563 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2023-11-13 |
Provider Mailing Address Detail
| Address | 3600 W Bethel Ave |
|---|---|
| City | Muncie |
| State | Indiana (IN) |
| Post Code | 473045407 |
| Phone Number | 7652847738 |
| Fax Number | 7652133713 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 02001168A |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200043532 | IN | RR MEDICARE | |
| 209731 | IN | ANTHEM PIN | |
| 200359010 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerry D. Bennett by the Centers for Medicare & Medicaid Services?
The Kerry D. Bennett has been issued the NPI (National Provider Identifier) 1689680563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kerry D. Bennett?
The Kerry D. Bennett is situated at 3600 W Bethel Ave, in the city of Muncie, state of IN, with the zip code 473045407.
What is Kerry D. Bennett's area of expertise and its corresponding taxonomy classification?
The Kerry D. Bennett's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1689680563 to Kerry D. Bennett?
The Kerry D. Bennett received its 1689680563 assignment from the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information related to Kerry D. Bennett most recently updated or refreshed?
The details pertaining to the Kerry D. Bennett, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-13.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM