Individual
DR. DONALD KENNETH PENNELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SHADOW LN, STE 470, LAS VEGAS, NV 89106-4159
(702) 383-9800
(702) 383-9841
Mailing address
700 SHADOW LN, STE 470, LAS VEGAS, NV 89106-4159
(702) 383-9800
(702) 383-9841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3969
NV
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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