Organization
PENNYRILE NEPHROLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WHITNEY (OFFICE MANGER)
(270) 821-5726
Entity
Organization
Contact information
Practice address
1020 WATERFALL CT, MADISONVILLE, KY 42431-8079
(270) 399-5434
(270) 825-3793
Mailing address
1020 WATERFALL CT, MADISONVILLE, KY 42431-8079
(270) 821-5726
(270) 326-2090
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284170
—
KY
Enumeration date
01/07/2019
Last updated
02/22/2021
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