Individual
MRS. CAITLIN ERIN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 263-6781
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1106559
KY
363A00000X
Physician Assistant
PA1768
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100222930
—
KY
Enumeration date
08/06/2012
Last updated
09/29/2023
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