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Kaile Renee Pennock
Student in an Organized Health Care Education/Training Program in Escondido, California
NPI 1740932086

Kaile Renee Pennock is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kaile Renee Pennock practices in Escondido, CA. The NPI Number for Kaile Renee Pennock is 1740932086 and holds a License No. (California).

The current practice location address for Kaile Renee Pennock is 474 W Vermont Ave Ste 104, Escondido, CA and can be reached out via phone at 760-432-9884.

Location: 474 W Vermont Ave Ste 104, Escondido, CA, 92123-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740932086
Provider Name
Kaile Renee Pennock
Credential
Provider Entity Type
Individual
Gender
Female
Address
474 W Vermont Ave Ste 104, Escondido, CA, 92123-1308
Phone Number
760-432-9884
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
474 W Vermont Ave Ste 104
City
Escondido
State
California
Zip
92025-6584
Phone Number
760-432-9884
Fax Number
person
Provider Business Mailing Address Details
Address
474 W Vermont Ave Ste 104
City
Escondido
State
California
Zip
92025-6584
Phone Number
760-432-9884
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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