Individual
KATELYN ANN PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 N 3RD ST STE 300, NEWARK, OH 43055-5550
(614) 487-8758
Mailing address
15 N 3RD ST STE 300, NEWARK, OH 43055-5550
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.463949
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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