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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA PENNINGTON, PA-C

Active

LISA PENNINGTON, PA-C is a Medical Physician Assistant healthcare provider located in FLATWOODS, Kentucky. NPI 1710968557 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FLATWOODS, KY

Registration Details

NPI Number
1710968557
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2005 (20.737450474842 yrs)
Last Updated
May 23, 2022
Licenses
PA303 (KY)
PA303 (KY)

Practice Information

Address
2420 ARGILLITE RD STE B
FLATWOODS, KY, 411391972
Browse KY providers · Browse ZIP 41139
Phone
6068363900
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.