Pennington, Jessica Abney
Pennington, Jessica Abney is an sole proprietor health care provider with primary practice located at 2750 Battlefield Memorial Hwy , Berea KY 40403-8332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pennington, Jessica Abney can be contacted via phone (859) 986-0302.Contact Information
Primary practice address
2750 Battlefield Memorial Hwy
Berea KY 40403-8332
Phone: (859) 986-0302
Fax: (859) 986-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37778 | Kentucky |
Profile Details
| NPI number | 1003861162 |
|---|---|
| LBN Legal business name | Pennington, Jessica Abney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Aug 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003861162 | NPPES |
| Kentucky | MEDICAID | 64055908 | |
| Kentucky | Other | K014642 |
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