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Contact Information

TINA PENNINGTON
100 MALLARD CREEK RD
SUITE 390
LOUISVILLE, KY40207-4194
 Phone: 502-267-8610
 Fax: 502-267-9019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for TINA PENNINGTON · (Female)

NPI # 1639414303
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2012
Last updated 01/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
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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