Individual
DR. KATE M PENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5545 PLATT SPRINGS RD, LEXINGTON, SC 29073-7519
(919) 966-4834
(919) 966-1773
Mailing address
5545 PLATT SPRINGS RD, LEXINGTON, SC 29073-7519
(803) 359-3245
(803) 359-0214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4628
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4628
—
SC
Enumeration date
02/02/2010
Last updated
12/12/2011
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