Kristine M Bennett in Winston Salem - Physician Assistant
Kristine M Bennett - NPI 1649204041
Kristine M Bennett is a Physician Assistant in Winston Salem, North Carolina. Kristine M Bennett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristine M Bennett is 1649204041. The last update date is 2020-10-25.
Kristine M Bennett's current location address is 2020 Peace Haven Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367681280 and fax number 3367608443. The mailing address for Kristine M Bennett is 2020 Peace Haven Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine M Bennett |
|---|---|
| Address | 2020 Peace Haven Rd, Winston Salem, North Carolina |
| Phone Number | 3367681280 |
| Fax Number | 3367608443 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649204041 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | 2020 Peace Haven Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271064851 |
| Phone Number | 3367681280 |
| Fax Number | 3367608443 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-04920 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 451514334 | IL | BCBS PROVIDER ID# | |
| 85000828 | IL | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kristine M Bennett by the Centers for Medicare & Medicaid Services?
The Kristine M Bennett has been assigned the NPI (National Provider Identifier) 1649204041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kristine M Bennett is located?
The Kristine M Bennett is situated at the following address: 2020 Peace Haven Rd, Winston Salem, NC, 271064851.
What is Kristine M Bennett's area of expertise and its corresponding taxonomy classification?
The Kristine M Bennett's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kristine M Bennett receive the assignment of its 1649204041 from the Centers for Medicare & Medicaid Services?
The Kristine M Bennett was issued its 1649204041 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Kristine M Bennett most recently updated?
The details pertaining to the Kristine M Bennett, including its address, specialty, and other relevant information, were last refreshed on 2020-10-25.