Pennella, Kate M
Pennella, Kate M is an individual health care provider with primary practice located at 5545 Platt Springs Rd , Lexington SC 29073-7519. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Pennella, Kate M can be contacted via phone (919) 966-4834.Contact Information
Primary practice address
5545 Platt Springs Rd
Lexington SC 29073-7519
Phone: (919) 966-4834
Fax: (919) 966-1773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4628 | South Carolina |
Profile Details
| NPI number | 1831421890 |
|---|---|
| LBN Legal business name | Pennella, Kate M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Dec 12th, 2011 - about 13 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 | 1831421890 | NPPES |
| South Carolina | MEDICAID | ZX4628 |
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