Penne Clos, is a
Occupational Therapist based in Southgate, Kentucky. Penne Clos is licensed to practice in Kentucky (license number 133698) and her current practice location is
251 Linden Ave, Southgate, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 757-7765.
NPI number for Penne Clos is 1548713019 and her current mailing address is 251 Linden Ave, Southgate, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548713019.
Healthcare Provider's Profile
Full Name | Penne Clos |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 251 Linden Ave, Southgate, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548713019
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 08/01/2016
Medical Identifiers
Medical identifiers for Penne Clos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548713019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 133698 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Penne Clos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Penne Clos, 251 Linden Ave, Southgate, KY 41071-3213 Ph: (859) 757-7765 | Penne Clos, 251 Linden Ave, Southgate, KY 41071-3213 Ph: (859) 757-7765 |
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