Individual
MRS. BRIDGET J. PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE STE L104, LEXINGTON, KY 40536-8517
(859) 257-3253
(859) 257-7603
Mailing address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100654640
—
KY
Enumeration date
09/03/2019
Last updated
07/28/2021
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