Individual
DR. KERRY FRANKLIN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 E CHURCH ST, SUITE A, WARREN, AR 71671-3509
(870) 226-6754
(870) 226-7925
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
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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