Kenneth W Bennett
Medical Specialty
Professional ID
- NPI: 1942254263
- PECOS ID: 5799794590
- Enrollment ID: I20060405000669
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 010001
- Business Name (LBN)1: Southeast Alabama Medical Center
- Hospital CCN2: 010090
- Business Name (LBN)2: Providence Hospital
Medical Practices
- Organization Name: Houston County Healthcare Authority
- Group Practice ID assigned by PECOS: 9436062296
- Number of Group Practice member: 182
Location
- Address1: 1108 Ross Clark Cir
- Address2:
- City: Dothan
- State: Alabama
- Zip Code: 36301
- Phone Number: (334)793-8087
Medical Practices
- Organization Name: Providence Hospital
- Group Practice ID assigned by PECOS: 9830111871
- Number of Group Practice member: 72
Location
- Address1: 6801 Airport Blvd
- Address2:
- City: Mobile
- State: Alabama
- Zip Code: 36608
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):