Individual
DR. JEREMY LEE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
308 N MAIN ST, CYNTHIANA, KY 41031-1210
(859) 234-1424
(859) 234-5463
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2225DT
KY
Other
Enumeration date
05/26/2021
Last updated
08/09/2024
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