Pender, Dillon

Pender, Dillon is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd , Glasgow KY 42141-1300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pender, Dillon can be contacted via phone (270) 659-5555.

Contact Information

Primary practice address
310 N L Rogers Wells Blvd Glasgow KY 42141-1300
Phone: (270) 659-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R4843 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55213 Kentucky

Profile Details

NPI number 1639666571
LBN Legal business name Pender, Dillon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Mar 10th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639666571 NPPES
Kentucky MEDICAID 7100603490
Kentucky Other K300041

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