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NPI Profile for KATETIA H BENNETT in WINSTON-SALEM, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI Number | 1780145714 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/31/2019 | |
| Last updated | 03/31/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATETIA H BENNETT
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KATETIA H BENNETT