Donald Kenneth Pennelle in Las Vegas - Family Medicine

Donald Kenneth Pennelle - NPI 1093710733

Donald Kenneth Pennelle is a Family Medicine in Las Vegas, Nevada. Donald Kenneth Pennelle practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Donald Kenneth Pennelle is 1093710733. The last update date is 2007-07-08.

Donald Kenneth Pennelle's current location address is 700 Shadow Ln, Las Vegas, Nevada. You can contact this provider via phone number 7023839800 and fax number 7023839841. The mailing address for Donald Kenneth Pennelle is 700 Shadow Ln, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Kenneth Pennelle
Address 700 Shadow Ln, Las Vegas, Nevada
Phone Number 7023839800
Fax Number 7023839841
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1093710733
Provider Enumeration Date 2005-06-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Shadow Ln
City Las Vegas
State Nevada (NV)
Post Code 8910641590
Phone Number 7023839800
Fax Number 7023839841

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 3969
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Donald Kenneth Pennelle

What is the Donald Kenneth Pennelle's unique identification number?

The Donald Kenneth Pennelle has been assigned the NPI (National Provider Identifier) Number 1093710733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Donald Kenneth Pennelle is physically located?

The Donald Kenneth Pennelle is physically situated at the following address: 700 Shadow Ln, Las Vegas, NV, 8910641590.

What is Donald Kenneth Pennelle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Donald Kenneth Pennelle is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did Donald Kenneth Pennelle receive its 1093710733 assignment from the Centers for Medicare & Medicaid Services?

The Donald Kenneth Pennelle was assigned its 1093710733 on 2005-06-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Donald Kenneth Pennelle most recently updated?

The details pertaining to the Donald Kenneth Pennelle, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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