M.D. Kelly A. Bennett, NPI 1063404127
Family Medicine Physician in Lubbock, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063404127
NPI Entity Type Individual
Provider Name M.D. Kelly A. Bennett
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3601 4th St, Lubbock, TX, US
Provider Mailing Address 3601 4th St, Lubbock, TX, US, 794308143
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. K0417
License State TX
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

M.D. Kelly A. Bennett
3601 4th St

Lubbock, TX, US

Phone: 806-743-2757
Fax: 806-743-2563

Mailing Address

M.D. Kelly A. Bennett
3601 4th St
Lubbock, TX, US
ZIP 794308143
Phone: 806-743-2757

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
A297 NM TRIWEST 01
100155840A OK MEDICAID 05
117701603 TX MEDICAID 05
108429102 TX FIRSTCARE COMMERCIAL 01
87813G TX BCBS 01
108429103 TX MEDICAID 05
117701602 TX MEDICAID 05
83027Z TX HMO BLUE 01
62147 NM PRESBYTERIAN COMMERCIAL 01
T9668 NM MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] TTUHSC Family Medicine DIRECT CSV No 3601 4th St, Lubbock, TX, US

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