Doctor Name: | KIRSTEN HASKELLE BENDECK |
NPI Number: | 1073780748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 3950 Austell Road Emergency Department Austell, GA - 30328 |
Business Phone Number: | 7707324000 |
Business Fax Number: | |
Mailing Address: | 250 Pharr Rd Ne Apt 808, ATLANTA |
State: | GA |
Postal Code: | 303052275 |
Phone Number: | 2027097882 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |