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Contact Information

LYNDA D BENTLEY, PA
101 FK BUSTER AVE
CHEYENNE, OK73628
 Phone: 580-497-3333
 Fax: 580-497-2778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LYNDA D BENTLEY · (Female)

NPI # 1720003189
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/13/2006
Last updated 04/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # PA912
  • OK Medicaid 100161610A
Hospital affiliation(s)
  • GREAT PLAINS REGIONAL MEDICAL CENTER - (Acute Care)
    1801 WEST 3RD STREET
    ELK CITY, OK 73644
  • O U MEDICAL CENTER - (Acute Care)
    1200 EVERETT DRIVE
    OKLAHOMA CITY, OK 73104
  • ROGER MILLS MEMORIAL HOSPITAL - (Critical Access)
    501 SOUTH L L MALES AVENUE
    CHEYENNE, OK 73628
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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