NPI 1174510960 · live from the CMS NPI Registry
Patrick J. Bennett, M.D.
Radiology, Diagnostic Radiology in Bowling Green, KY. National Provider Identifier 1174510960, active.
NPI record
| NPI | 1174510960 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 250 Park St, Bowling Green, KY 42101 |
| Practice phone | 270-745-1200 |
| Mailing address | Po Box 2697, Bowling Green, KY 42102 |
| Enumerated | October 5, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 38821 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.