Individual
MS. LEAH S PENNYBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 CORPORATE DR, SUITE 610, LEXINGTON, KY 40503-5405
(859) 410-8550
Mailing address
PO BOX 910544, LEXINGTON, KY 40591-0544
(859) 410-8550
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2440914
KY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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