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Contact Information

KAREN R PENNINGTON, PAC
921 GREELEY ST S
STILLWATER, MN55082
 Phone: 651-439-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KAREN R PENNINGTON · (Female)

NPI Number 1487766820
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/31/2006
Last updated 02/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10413
  • WI License # 1242
  • WI Medicaid 42995400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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