Individual
KIMBERLY ROPER PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
53-594 KAMEHAMEHA HWY, HAUULA, HI 96717-9648
(808) 293-1100
(808) 293-2773
Mailing address
1952 E FORT UNION BLVD, SUITE 100, SALT LAKE CITY, UT 84121-6877
(801) 456-8409
(801) 456-8413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3582
TN
225100000X
Physical Therapist
Primary
PT 2893
HI
Other
Enumeration date
10/02/2006
Last updated
10/25/2013
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