Individual
PENNY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
108 OSBOURNE WAY STE 6, GEORGETOWN, KY 40324-9693
(502) 867-0073
(502) 867-0560
Mailing address
108 OSBOURNE WAY STE 6, GEORGETOWN, KY 40324-9693
(502) 867-0073
(502) 867-0560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1362
HI
111N00000X
Chiropractor
Primary
276710
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100813740
—
KY
Enumeration date
03/16/2017
Last updated
06/08/2022
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