KESA BENNETT LPN
NPI 1376985002
Licensed Practical Nurse in Muskegon, MI

Q: What is Kesa Bennett's NPI number?

The NPI number for Kesa Bennett is 1376985002. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Q: What is Kesa Bennett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kesa Bennett was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2013

955 W BROADWAY AVE, MUSKEGON, MI 49441(231) 755-0637(231) 755-6208 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kesa Bennett Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KESA BENNETT LPN (NPI 1376985002) is an individual licensed practical nurse in Muskegon, Michigan, licensed in Michigan (4703091207) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1376985002

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKESA BENNETTCredential: LPN

Location Address955 W BROADWAY AVEMuskegon, MI 49441-3521

Mailing Address1351 Chestnut StMuskegon, MI 49442-5147 · (231) 755-0637 · Fax (231) 755-6208

Phone(231) 755-0637

Fax(231) 755-6208

Sole ProprietorNo

Enumeration DateJuly 23, 2013

✔ NPI 1376985002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703091207

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

955 W BROADWAY AVE, Muskegon, MI 49441

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON JOSEPH FAKLER RN

Registered Nurse