Pennelli, Karen M
Pennelli, Karen M is an individual health care provider with primary practice located at 470 Northside Cherokee Blvd Ste 170 , Canton GA 30115-8029. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pennelli, Karen M can be contacted via phone (770) 721-9540.Contact Information
Primary practice address
470 Northside Cherokee Blvd Ste 170
Canton GA 30115-8029
Phone: (770) 721-9540
Fax: (770) 721-9541
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 784 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA784 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 008027 | Georgia |
Profile Details
NPI number | 1811088685 |
---|---|
LBN Legal business name | Pennelli, Karen M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Apr 14th, 2020 - about 5 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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