| Kerry Pennington, PA | |
|
1012 E Church St Sutie A Warren AR 71671-3509 | |
| (870) 226-6754 | |
| (870) 226-7925 |
| Full Name | Kerry Pennington, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1012 E Church St, Warren, Arkansas |
| Authorized Official Name and Position | Kerry F Pennington (PRESIDENT) |
| Authorized Official Contact | 8702266754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Pennington, PA 1012 E Church St Sutie A Warren AR 71671-3509 Ph: (870) 226-6754 | Kerry Pennington, PA 1012 E Church St Sutie A Warren AR 71671-3509 Ph: (870) 226-6754 |
| NPI Number | 1447226253 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447226253 | NPI | - | NPPES |
| 110722002 | Medicaid | AR | |
| 5B909 | Other | AR | BCBS PROVIDER # |
| 133563762 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C5438 (Arkansas) | Primary |
Wharton Clinic, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Church St, Suite C, Warren, AR 71671 Phone: 870-226-6786 Fax: 870-226-5638 |
Harton Medical Clinic PLLC PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 N Martin St, Warren, AR 71671 Phone: 870-226-6580 Fax: 870-226-6554 |
Foscue Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Cypress St, Warren, AR 71671 Phone: 870-226-2844 Fax: 870-226-5200 |
Bradley County Medical Center Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 East Central, Warren, AR 71671 Phone: 870-226-8636 Fax: 870-226-8655 |
Mindful Health Services, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Cypress St, Warren, AR 71671 Phone: 870-226-2844 Fax: 870-226-5200 |
Michelle Weaver, MD, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E Central St, Warren, AR 71671 Phone: 501-812-7216 |