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Pennie Khong, NP
Family Nurse Practitioner in Copperopolis, California
NPI 1770192924

Pennie Khong is a Family Nurse Practitioner based in Copperopolis, CA and is specialized in Family. Pennie Khong practices in Copperopolis, CA and has the professional credentials of NP. The NPI Number for Pennie Khong is 1770192924 and holds a License No. AP61090460 (California).

The current practice location address for Pennie Khong is 3505 Spangler Ln Ste 400, Copperopolis, CA and can be reached out via phone at 209-785-7000.

Location: 3505 Spangler Ln Ste 400, Copperopolis, CA, 95228-9424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770192924
Provider Name
Pennie Khong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3505 Spangler Ln Ste 400, Copperopolis, CA, 95228-9424
Phone Number
209-785-7000
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3505 Spangler Ln Ste 400
City
Copperopolis
State
California
Zip
95228-9424
Phone Number
209-785-7000
Fax Number
person
Provider Business Mailing Address Details
Address
3505 Spangler Ln Ste 400
City
Copperopolis
State
California
Zip
95228-9424
Phone Number
209-785-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP61090460 (Washington)
Definition
Definition to come...
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