Organization
ARRIVE ALIVE
Active
Other names
penny medicinebear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY ANN MEDICINEBEAR (OWNER)
(270) 784-7079
Entity
Organization
Contact information
Practice address
324 SUNSET AVE, SMITHS GROVE, KY 42171
(270) 784-7079
(270) 451-1200
Mailing address
PO BOX 433, 324 SUBSET AVE., SMITHS GROVE, KY 42171-0433
(270) 784-7079
(270) 451-1200
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
3586/ 3585
KY
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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