Individual
PENNY LEVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 ROSCOE VEAZEY RD, MANITOU, KY 42436-9748
(270) 875-5819
Mailing address
465 ROSCOE VEAZEY RD, MANITOU, KY 42436-9748
(270) 875-5819
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3011279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011279
APRN STATE LICENSE
KY
Enumeration date
04/26/2017
Last updated
04/26/2017
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