Dr KENDEL NICOLE BENNETT is a female medical professional, specializing in Physician Assistant. She graduated in 2018.
COLUMBIA LUTHERAN CHARITIES
2111 EXCHANGE ST
ASTORIA
OR
971033329
Tel: 5033254321
| Npi | 1912455205 |
| Pac Id | 3870833056 |
| Professional Enrollment Id | I20190326001746 |
| Last Name | BENNETT |
| First Name | KENDEL |
| Middle Name | NICOLE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | COLUMBIA LUTHERAN CHARITIES |
| Group Practice Pac Id | 5294643359 |
| Number Of Group Practice Members | 40 |
| Line 1 Street Address | 2111 EXCHANGE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ASTORIA |
| State | OR |
| Zip Code | 971033329 |
| Phone Number | 5033254321 |
| Hospital Affiliation Ccn 1 | 381320 |
| Hospital Affiliation Lbn 1 | COLUMBIA MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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