PROF. BENNETT L RADFORD D.O.

Allergy and Immunology

Salina, Kansas

Provider NPI: 1164494506

Provider Information:
PROF. BENNETT L RADFORD D.O.


Practice Location:
737 E CRAWFORD ST WEST BUILDING SALINA, KS 67401 US
Tel: 785-827-7261  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	KS	05-25562

Other Provider Identifiers:

Issuer	Number	State	Type
	100302190C	KS	05
MEDICARE ID#	106603	KS	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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