Midboe Penn, Pamela R
Midboe Penn, Pamela R is an individual health care provider with primary practice located at 800 Rose Street , Lexington KY 40536-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Midboe Penn, Pamela R can be contacted via phone (859) 323-5345.Contact Information
Primary practice address
800 Rose Street
Lexington KY 40536-0001
Phone: (859) 323-5345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 36835 | Kentucky |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 36835 | Kentucky |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 36835 | Kentucky |
Profile Details
| NPI number | 1336184399 |
|---|---|
| LBN Legal business name | Midboe Penn, Pamela R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Aug 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336184399 | NPPES |
| Kentucky | MEDICAID | 64033517 |
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