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Individual

DR. PENNY LOU PLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
958 S KENMORE DR, EVANSVILLE, IN 47714-7513
(812) 477-5003
(812) 477-3639
Mailing address
958 S KENMORE DR, EVANSVILLE, IN 47714-7513
(812) 477-5003
(812) 477-3639

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
08000870A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08000870A
STATE OF IN PROFESSIONAL LICENSE
IN
Enumeration date
08/09/2011
Last updated
08/19/2011
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