Organization
POSITIVE CONNECTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA E. PENNINGTON APRN (MEMBER/OWNER)
(502) 243-2622
Entity
Organization
Contact information
Practice address
6813 W HIGHWAY 22, CRESTWOOD, KY 40014-7007
(502) 243-2622
(502) 243-2692
Mailing address
6813 W HIGHWAY 22, CRESTWOOD, KY 40014-7007
(502) 243-2622
(502) 243-2692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004525
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609052
ANTHEM PIN
—
01
—
D081722
VALUEOPTIONS
—
Enumeration date
03/05/2009
Last updated
09/01/2015
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