Individual
JESSICA ABNEY PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2750 BATTLEFIELD MEMORIAL HWY, BEREA, KY 40403-8332
(859) 986-0302
(859) 986-0315
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37778
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64055908
—
KY
01
—
K014642
MEDICARE
KY
Enumeration date
05/24/2006
Last updated
03/20/2025
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