Keri Lyn Bennett, | |
515 N 16th St, Payette, ID 83661-2774 | |
(208) 642-6416 | |
Not Available |
Full Name | Keri Lyn Bennett |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 515 N 16th St, Payette, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750836169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 46146 (Idaho) | Primary |
163W00000X | Registered Nurse | 201392585RN (Oregon) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Keri Lyn Bennett, 3402 Franklin Rd, Caldwell, ID 83605-6932 Ph: (208) 642-6416 | Keri Lyn Bennett, 515 N 16th St, Payette, ID 83661-2774 Ph: (208) 642-6416 |
Kathy Ryals, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 515 N 16th St, Payette, ID 83661 Phone: 208-642-6416 Fax: 208-642-2829 | |
Larry Chandler, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8512 Washoe Rd, Payette, ID 83661 Phone: 208-405-5297 |