Kenneth Bentley, M.D. Valid NPI

Individual provider · Critical Care Medicine (Internal Medicine) Physician · Bridgeton, MO

NPI

1902879794

Type

Individual (Type 1)

Primary specialty

Critical Care Medicine (Internal Medicine) Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RC0200X

License number

R5N44 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-10

Last updated

2011-07-08