Lydia Ann Pennington, APRN
Nurse Practitioner, Family in Rush, KY. Individual provider (NPI-1).
NPI number1467190868
StatusActive
Last updated in NPPESMay 25, 2022
Details
- NPI
- 1467190868
- Entity type
- Individual (NPI-1)
- Name
- Lydia Ann Pennington
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2022
- Certification date
- May 25, 2022
- Last updated
- May 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3017667 | KY | Yes |
Practice location
7715 E Us Highway 60Rush, KY 41168-8807
Phone 606-547-1303
Mailing address
7715 E Us Highway 60Rush, KY 41168-8807
Phone 606-547-1303
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