SearchArkansas101YA0400X

Kristel Pennington, LADAC, LCDC

NPI 1689915605 · on the registry since 2013 · sole proprietor

Practice

Address
1220 Addybrook St
Conway, AR 72032
Phone
(501) 428-6978

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
101YA0400X
Licence states on file
NM, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-18

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 Arkansas