Provider Demographics
NPI:1720548183
Name:BENNETT, JOSEPH GRADY (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GRADY
Last Name:BENNETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4150 N MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1779
Mailing Address - Country:US
Mailing Address - Phone:913-588-0791
Mailing Address - Fax:913-588-6055
Practice Address - Street 1:4150 N MULBERRY DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1779
Practice Address - Country:US
Practice Address - Phone:913-588-5000
Practice Address - Fax:913-588-6055
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025010867207RH0000X
KS04-50917207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology