Individual
KELSEY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9407 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
(812) 800-9008
Mailing address
9407 COUNTY ROAD 403, CHARLESTOWN, IN 47111-8946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014880A
IN
225100000X
Physical Therapist
99111292A
IN
Other
Enumeration date
05/20/2022
Last updated
11/03/2022
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