Individual
DEBRA K PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
131 WAGON TRL, BOWLING GREEN, KY 42103-9030
(270) 792-1803
Mailing address
131 WAGON TRL, BOWLING GREEN, KY 42103-9030
(270) 792-1803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2035466
KY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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