Individual
PHILIP PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
3300 TATES CREEK RD, LEXINGTON, KY 40502-3408
(859) 266-2126
(859) 266-5353
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017636
KY
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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