Kelly M Bennett, MD | |
2724 Nashville Rd, Bowling Green, KY 42101-4000 | |
(270) 781-5111 | |
Not Available |
Full Name | Kelly M Bennett |
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Gender | Female |
Speciality | Pediatrics |
Location | 2724 Nashville Rd, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306136460 | NPI | - | NPPES |
0114738 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 35122871 (Ohio) | Secondary |
208000000X | Pediatrics | 58177 (Kentucky) | Primary |
Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
Mailing Address | Practice Location Address |
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Kelly M Bennett, MD 201 Park St, Bowling Green, KY 42101-1708 Ph: (270) 781-5111 | Kelly M Bennett, MD 2724 Nashville Rd, Bowling Green, KY 42101-4000 Ph: (270) 781-5111 |
Dr. William Bryan Harrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 615 7th Ave, Bowling Green, KY 42102 Phone: 270-783-3573 Fax: 270-467-0226 | |
Nicole Anania, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-796-5498 Fax: 270-796-5490 | |
Dr. Robert Neil Treece Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1211 Ashley Cir, Bowling Green, KY 42104 Phone: 270-782-8700 Fax: 270-782-8704 | |
Dr. Jeffrey Lee Bitterling, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1211 Ashley Cir, Bowling Green, KY 42104 Phone: 270-782-8700 Fax: 270-782-8704 | |
Dr. John Eric Voakes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 615 7th Ave, Bowling Green, KY 42101 Phone: 270-783-3573 | |
Casey Jasper Cordts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-796-5498 Fax: 270-796-5490 | |
Dr. Zahid G Fraser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1211 Ashley Circle, Pediatric Associates, Bowling Green, KY 42104 Phone: 270-782-8700 Fax: 270-782-8704 |