NPI 1013991165

Donald Walter Bennett, ODMD

Practitioner Ophthalmology Physician Louisville, KY

Practice location

Address: 1935 Bluegrass Ave Suite 200, Louisville, KY 40215-1179
Phone: (502) 895-0040
Fax: (502) 361-4488

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 23368 (KY)

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Registry record

NPI: 1013991165
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2005
Record last updated: 23 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.