person
John R Penta, MD
Obstetrics & Gynecology Physician in Louisville, Kentucky
NPI 1760484604

John R Penta is a Obstetrics & Gynecology Physician based in Louisville, KY. John R Penta practices in Louisville, KY and has the professional credentials of MD. The NPI Number for John R Penta is 1760484604 and holds a License No. 21548 (Kentucky).

The current practice location address for John R Penta is 950 Breckenridge Ln Ste 200, Louisville, KY and can be reached out via phone at 502-893-6777 and via fax at 502-899-5535.

Location: 950 Breckenridge Ln Ste 200, Louisville, KY, 40229-2182
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Provider Profile Details
NPI Number
1760484604
Provider Name
John R Penta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
950 Breckenridge Ln Ste 200, Louisville, KY, 40229-2182
Phone Number
502-893-6777
Fax Number
502-899-5535
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000247085 01 ANTHEM
50000082 01 PASSPORT
P01026547 01 KY MEDICARE RAILROAD
64215486 05 KY
institution
Provider Business Practice Location Address Details
Address
950 Breckenridge Ln Ste 200
City
State
Zip
40207-5929
Phone Number
502-893-6777
Fax Number
502-899-5535
person
Provider Business Mailing Address Details
Address
950 Breckenridge Ln Ste 200
City
State
Zip
40207-5929
Phone Number
502-893-6777
Fax Number
502-899-5535
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
21548 (Kentucky)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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