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Individual

BETHANY S PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
64 KIRK PLZ, INEZ, KY 41224-6501
(606) 298-2520
(606) 298-2522
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 298-2520
(062) 982-5226

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013424
KY
363LF0000X
Family Nurse Practitioner
PENDING
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100617350
KY
Enumeration date
08/07/2019
Last updated
11/09/2022
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