Individual
SANDRA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 CRESTVIEW DR, MANCHESTER, KY 40962-7012
(606) 594-1769
(606) 596-0473
Mailing address
2175 SACKER RD, MANCHESTER, KY 40962-8109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4026742
KY
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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