Pentico, Kathryn

Pentico, Kathryn is an individual health care provider with primary practice located at 3786 Central Pike Ste 130 , Hermitage TN 37076-3498. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Pentico, Kathryn can be contacted via phone (615) 883-2200.

Contact Information

Primary practice address
3786 Central Pike Ste 130 Hermitage TN 37076-3498
Phone: (615) 883-2200
Fax: (615) 883-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 210852 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 21521 Tennessee

Profile Details

NPI number 1356895155
LBN Legal business name Pentico, Kathryn
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated May 17th, 2024 - about 2 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 1356895155 NPPES
Tennessee MEDICAID Q023490

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