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Individual

DR. TAMMY M. PENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 E BROADWAY STE 340, LOUISVILLE, KY 40202-1799
(502) 852-5395
Mailing address
4201 SPRINGHURST BLVD, STE 203, LOUISVILLE, KY 40241
(502) 425-6690
(502) 425-6629

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42503
KY
2084P0800X
Psychiatry Physician
R1255
KY

Other

Enumeration date
02/01/2007
Last updated
12/13/2012
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