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Contact Information

PENNY A MEDICINEBEAR
224 SUNSET AVE
SMITHS GROVE, KY41217
 Phone: 270-784-7079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1215234778
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/18/2011
Last updated 02/18/2011 - About 15 years ago
Identifiers
KY License # 3585
KY License # 3586
KY Medicaid 3162
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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