Individual
KRYSTA PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MALCOLM AVE, LOUISVILLE, KY 40223-2535
(502) 271-8486
(502) 271-8486
Mailing address
506 MALCOLM AVE, LOUISVILLE, KY 40223-2535
(502) 271-8486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1159364
KY
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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