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Search › Oklahoma › 163WC0400X

Teddy Pennypacker, RN

NPI 1073020897 · on the registry since 2018

Practice

Address
231 E Graham Ave
Pryor, OK 74361
Phone
(918) 825-1405
Fax
(918) 825-1406
Organisation at this address
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
163WC0400X
163WC0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma