Penton, Katherine

Penton, Katherine is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Penton, Katherine can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Phone: (404) 321-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN289981 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN289981 Georgia

Profile Details

NPI number 1457938243
LBN Legal business name Penton, Katherine
Credentials APRN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2021
Last updated Mar 26th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457938243 NPPES
Georgia Other RN289981 APRN LICENSE

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