Kandon Bennett, is a
Student In An Organized Health Care Education/training Program based in Dumas, Texas. Kandon Bennett is licensed to practice in * (Not Available) (license number ) and his current practice location is
224 E 2nd St, Dumas, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 935-7171.
NPI number for Kandon Bennett is 1609765098 and his current mailing address is Po Box 405, Henrietta, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609765098.
Provider's Profile
| Full Name | Kandon Bennett |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 224 E 2nd St, Dumas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609765098
- Provider Enumeration Date: 06/30/2025
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for Kandon Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609765098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kandon Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kandon Bennett,
Po Box 405,
Henrietta, TX 76365-0405
Ph: (940) 631-2796 | Kandon Bennett,
224 E 2nd St,
Dumas, TX 79029-3808
Ph: (806) 935-7171 |
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