KELLY BENNETT, M.D.
Family Medicine
Active
Individual
NPI: 1063404127
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | K0417 (TX) |
Frequently Asked Questions
NPI 1063404127 is the National Provider Identifier for KELLY BENNETT, M.D., a Family Medicine provider located in Lubbock, TX. This NPI was enumerated on August 16, 2005.
KELLY BENNETT, M.D. practices at 3601 4TH ST, Lubbock, TX 79430.
Quick Facts
- NPI
- 1063404127
- Type
- Individual
- Enumerated
- Aug 16, 2005
- Last Updated
- Jan 10, 2020
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