Penny Medicinebear
Organization Active NPI Taxi · Smiths Grove, KY
NPI 1487972287 · NPPES record last updated May 4, 2010
Key facts
- NPI
- 1487972287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Taxi 344600000X
- License
- 3585 (KY)
- Legal business name
- PENNY MEDICINEBEAR
- Practice address
- 324 Sunset Ave
Smiths Grove, KY 42171-8164 - Phone
- (270) 784-7079
- Fax
- (270) 451-1200
- NPI assigned
- May 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Fuqua Medicinebear, N/A
- Title
- Co-Owner
- Phone
- (270) 784-7079
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Arrive Alive
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 3585 | KY | Yes |
| Taxi | 344600000X | 3586 | KY |
Addresses
Primary practice location
324 Sunset Ave
Smiths Grove, KY 42171-8164
Mailing address
PO Box 433
324 Sunset Ave
Smiths Grove, KY 42171-0433
Phone (270) 784-7079
Other names
- arrive alive
Other providers in Smiths Grove, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.