Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kandon Bennett

Individual provider Surgical Physician Assistant · NPI 1609765098

Kandon Bennett is a Physician Assistant in Dumas, Texas. Qualified in 2025, 1 year ago. Practices with Moore County Hospital District, a 43-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

224 E 2nd St
Dumas, TX 79029-3808
Phone: (806) 935-7171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA19602 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609765098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESNovember 2, 2025
Certification dateNovember 2, 2025
Mailing addressPo Box 405, Henrietta, TX 76365-0405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Moore County Hospital District — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount