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Kimberly C Pendley
Family Nurse Practitioner in Greenville, Kentucky
NPI 1912140740

Kimberly C Pendley is a Family Nurse Practitioner based in Greenville, KY and is specialized in Family. Kimberly C Pendley practices in Greenville, KY. The NPI Number for Kimberly C Pendley is 1912140740 and holds a License No. 5984P (Kentucky).

The current practice location address for Kimberly C Pendley is 480 Hopkinsville St, Greenville, KY and can be reached out via phone at 270-338-5777 and via fax at 270-338-5765.

Location: 480 Hopkinsville St, Greenville, KY, 42345-1124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912140740
Provider Name
Kimberly C Pendley
Credential
Provider Entity Type
Individual
Gender
Female
Address
480 Hopkinsville St, Greenville, KY, 42345-1124
Phone Number
270-338-5777
Fax Number
270-338-5765
Provider Enumeration Date
04/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000614011 01 KY ANTHEM BCBS
7100082690 05 KY
institution
Provider Business Practice Location Address Details
Address
480 Hopkinsville St
City
Greenville
State
Kentucky
Zip
42345-1124
Phone Number
270-338-5777
Fax Number
270-338-5765
person
Provider Business Mailing Address Details
Address
480 Hopkinsville St
City
Greenville
State
Kentucky
Zip
42345-1124
Phone Number
270-338-5777
Fax Number
270-338-5765
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5984P (Kentucky)
Definition
Definition to come...
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