Pendley, Kimberly C

Pendley, Kimberly C is an individual health care provider with primary practice located at 480 Hopkinsville St , Greenville KY 42345-1124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pendley, Kimberly C can be contacted via phone (270) 338-5777.

Contact Information

Primary practice address
480 Hopkinsville St Greenville KY 42345-1124
Phone: (270) 338-5777
Fax: (270) 338-5765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5984P Kentucky

Profile Details

NPI number 1912140740
LBN Legal business name Pendley, Kimberly C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Dec 20th, 2019 - about 7 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 1912140740 NPPES
Kentucky Other 000000614011 ANTHEM BCBS
Kentucky MEDICAID 7100082690 ANTHEM BCBS

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