Individual
AMANDA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3894
(304) 637-0435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3894
(304) 637-0435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24442
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020336
—
WV
Enumeration date
07/03/2008
Last updated
11/03/2015
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