Individual
KATHLEEN PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
407 GUNSON RIDGE RD, CUMBERLAND CITY, TN 37050-4377
(931) 627-1366
Mailing address
407 GUNSON RIDGE RD, CUMBERLAND CITY, TN 37050-4377
(931) 627-1366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000025042
TN
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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