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Individual

DR. KELLY PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-3147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59529
MN
207RP1001X
Pulmonary Disease Physician
59529
MN
207RP1001X
Pulmonary Disease Physician
Primary
R75913
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/03/2014
Last updated
08/19/2020
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