Provider Demographics
NPI:1396988879
Name:BENNETT, ELIZABETH GERMINDER (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GERMINDER
Last Name:BENNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:NICOLE
Other - Last Name:GERMINDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7450 KESSLER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2553
Mailing Address - Country:US
Mailing Address - Phone:913-632-9200
Mailing Address - Fax:913-632-9209
Practice Address - Street 1:7450 KESSLER ST STE 201
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2553
Practice Address - Country:US
Practice Address - Phone:913-632-9200
Practice Address - Fax:913-632-9209
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017039602208600000X
KS04-45161208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery