# KERRY PENNINGTON, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447226253
- **Authorized official:** DR. KERRY F PENNINGTON M.D. (PRESIDENT)
- **Authorized official phone:** (870) 226-6754

## Contact information

- **Practice address:** 1012 E CHURCH ST, SUTIE A, WARREN, AR 71671-3509
- **Practice address phone:** (870) 226-6754
- **Practice address fax:** (870) 226-7925
- **Mailing address:** 1012 E CHURCH ST, SUTIE A, WARREN, AR 71671-3509
- **Mailing address phone:** (870) 226-6754
- **Mailing address fax:** (870) 226-7925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5438 | AR | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110722002 | — | AR |
| 05 | — | 133563762 | — | AR |
| 01 | — | 5B909 | BCBS PROVIDER \# | AR |