Individual
KAREN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 449-0331
Mailing address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 449-0331
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
71001542A
IN
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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