Harris, Penny

Harris, Penny is an individual health care provider with primary practice located at 108 Osbourne Way Ste 6 , Georgetown KY 40324-9693. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Harris, Penny can be contacted via phone (502) 867-0073.

Contact Information

Primary practice address
108 Osbourne Way Ste 6 Georgetown KY 40324-9693
Fax: (502) 867-0560
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1362 Hawaii
Chiropractic Providers / Chiropractor 111N00000X 276710 Kentucky

Profile Details

NPI number 1700327210
LBN Legal business name Harris, Penny
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2017
Last updated Jun 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700327210 NPPES
Kentucky MEDICAID 7100813740

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