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Individual

DR. KERRY FRANKLIN PENNINGTON

Active
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Individual

DR. KERRY FRANKLIN PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5438
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101336001
—
AR
01
—
12791000000
QUALCHOICE PROVIDER #
AR
01
—
432635
HEALTHLINK
AR
01
—
54011
BCBS PROVIDER #
AR
01
—
5733222
AETNA
AR
01
—
710554390
UNITED HEALTHCARE
AR
Enumeration date
02/23/2006
Last updated
03/26/2026
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