Donald Kenneth Pennelle M.D.

NPI 1093710733 - Family Medicine - 207Q00000X

NPI Details
NPI 1093710733
Gender Male
Enumeration Date 06/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
700 SHADOW LN
STE 470
LAS VEGAS NV, 89106-4159, US
Phone (702) 383-9800
Fax (702) 383-9841
Business Location
700 SHADOW LN
STE 470
LAS VEGAS NV, 89106-4159, US
Phone (702) 383-9800
Fax (702) 383-9841
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number 3969
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According to our database, Dr. Donald Kenneth Pennelle M.D. NPI is 1093710733, taxonomy code is 207Q00000X and license number is 3969, license state is located at Nevada. Donald Kenneth Pennelle M.D. physically located at 700 Shadow Ln, Las Vegas NV, 89106-4159. NPI Number Donald Kenneth Pennelle M.D. has the Individual type.

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1093710733 NPI number is provided on an as is basis without warranty of any kind. 1093710733 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Kenneth Pennelle M.D. are for informational purposes only.