MS. Penny L Suddock

NPI #1700901279 in Parsons, Kansas

Provider Information

NPI Number: 1700901279
Entity Type: Individual
Name: MS. Penny L Suddock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1507 WASHINGTON AVE
City: Parsons
State: Kansas
ZIP Code: 67357-3256
Phone: (620) 423-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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