KIANA ELNORA BENNETT
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1376204099- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1436 41ST ST SE, WASHINGTON, DC, 200206002
- Phone
- (301) 213-6112
Specialties & Taxonomies
Physician Assistant
Primary License: MD #C08491