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Contact Information

KENNETH J BENTSON, PA
1575 LOOKOUT DR
NORTH MANKATO, MN56003-2503
 Phone: 507-625-1811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENNETH J BENTSON · (Male)

NPI # 1710961156
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/30/2005
Last updated 01/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9954
Hospital affiliation(s)
  • NEW ULM MEDICAL CENTER - (Critical Access)
    1324 FIFTH NORTH STREET
    NEW ULM, MN 56073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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