Donna Marie Bennett
Individual provider Active NPI Physician Assistant · Kennett, MO
NPI 1821577404 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1821577404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 925 Hwy VV
Kennett, MO 63857 - Phone
- (573) 888-5925
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
925 Hwy VV
Kennett, MO 63857
Mailing address
925 Hwy VV
Kennett, MO 63857
Other providers in Kennett, MO
- Melinda Gaye Becknell
- Erin Jon Bedwell
- Christina L Bellers
- Evy Jo Benjamin
- Devante S Bennett
- Beverly Ann Berry
- Angela Marie Bevill
- Elizabeth Biggs
- Bio-Medical Applications of Missouri, Inc.
- Makayla Bird
All providers in Kennett, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. 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.