Individual provider · Type 1 NPI

Kristen F. Bennethum, PA-C

Medical Physician Assistant · Willow Grove, PA

NPI number 1447261771 Active

Practice location

2400 Maryland Rd, Suite 20
Willow Grove, PA 19090-1700

Fax (215) 830-8715

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA-051528 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1447261771

Kristen F. Bennethum, PA-C's National Provider Identifier is 1447261771, issued on Aug 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Willow Grove, PA. The record was last updated on Jan 12, 2016.