NPI Registry.org

Mackenzie Marie Bennett

NPI Registration Record

Provider / OrganizationNPIDate Certified
MACKENZIE MARIE BENNETT12257995622022-01-09

Mackenzie Marie Bennett is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225799562.

Entity TypeIndividual
Provider Name Mackenzie Marie Bennett IIN
Practice Office Address4204 GEORGIA ST
SAN DIEGO, CA US
Practice Office Telephone2063755204
Mailing AddressPO BOX 140427
DALLAS, TX 752140427 US
Business Telephone2063755204
Contact Endpoints
private health record portal []https://practicebetter.ioDirect
HPT Codes
CodePractice
License No
State
171400000X PRIMARY
OPI Codes
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