Craig S Pennell, OD

NPI #1841351228 in Independence, Kentucky

Provider Information

NPI Number: 1841351228
Entity Type: Individual
Name: Craig S Pennell, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 12, 2006
Last Updated: Oct 14, 2013

Practice Location

Address: 1824 DECLARATION DR
City: Independence
State: Kentucky
ZIP Code: 41051-8432
Phone: (859) 363-3347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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