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Pennyrile Nephrology Associates, Psc

Internal Medicine, Nephrology in Madisonville, KY. Organization (NPI-2).

NPI number1982177572
StatusActive
Last updated in NPPESFeb 22, 2021

Details

NPI
1982177572
Entity type
Organization (NPI-2)
Legal business name
Pennyrile Nephrology Associates, Psc
Organization subpart
No
Enumeration date
Jan 7, 2019
Certification date
Feb 22, 2021
Last updated
Feb 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology––Yes

Practice location

1020 Waterfall Ct
Madisonville, KY 42431-8079

Phone 270-399-5434 · Fax 270-825-3793

Mailing address

1020 Waterfall Ct
Madisonville, KY 42431-8079

Phone 270-821-5726 · Fax 270-326-2090

Authorized official

Amy Whitney
Office Manger
2708215726

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