Individual
KORYN PENNEBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1423 WIND RIVER DR, MILFORD, MI 48381-2669
(248) 763-4182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000941
MI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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