Individual
DANIELLE PENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10332 NEW HAVEN RD, NEW HAVEN, KY 40051-5045
(860) 378-5306
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59386
KY
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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