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Individual

LYDIA ANN PENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7715 E US HIGHWAY 60, RUSH, KY 41168-8807
(606) 547-1303
Mailing address
7715 E US HIGHWAY 60, RUSH, KY 41168-8807
(606) 547-1303

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017667
KY

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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