| Pennington Family Practice Pllc | |
|
793 Eastern Bypass Suite 213 Richmond KY 40475 | |
| (859) 625-5018 | |
| (859) 625-5539 |
| Full Name | Pennington Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 793 Eastern Bypass, Richmond, Kentucky |
| Authorized Official Name and Position | Jessica Abney Pennington (PRESIDENT) |
| Authorized Official Contact | 8596255018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennington Family Practice Pllc 793 Eastern Bypass Suite 213 Richmond KY 40475 Ph: (859) 625-5018 | Pennington Family Practice Pllc 793 Eastern Bypass Suite 213 Richmond KY 40475 Ph: (859) 625-5018 |
| NPI Number | 1053366534 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053366534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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