John Kelly Bennett, RT (R,CT)
Individual provider Active NPI Computed Tomography Radiologic Technologist · Trinity, FL
NPI 1710137583 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1710137583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Computed Tomography Radiologic Technologist 2471C3401X
- License
- CRT52901 (FL)
- Practice address
- 1661 Kinsmere Dr
Trinity, FL 34655-4528 - Phone
- (727) 236-5309
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT52901 | FL | MD | Computed Tomography Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | CRT52901 | FL | Yes |
Addresses
Primary practice location
1661 Kinsmere Dr
Trinity, FL 34655-4528
Mailing address
1661 Kinsmere Dr
Trinity, FL 34655-4528
Phone (727) 236-5309
Other providers in Trinity, FL
- Kristin Avanell Beck
- Chad Beckstrom
- Behavior Analysis Consultants
- Brooke R Bellman
- Anaidiel Beltran
- Krista Lynn Bennett
- Christina Lynn Berg
- Kurt T. Besch
- Timothy Petru Beuca
- Beyond Bones Health Solutions Inc.
All providers in Trinity, FL · Computed Tomography Radiologic Technologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.