Doctor Name: | MR. CAREY ALLYNN PENNINGTON |
NPI Number: | 1538313028 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.AC., LMP |
License Number: | MA00023492 |
Business Practice Address: | 24160 Ne State Route 3 Belfair, WA - 985289626 |
Business Phone Number: | 3602053085 |
Business Fax Number: | 3602752007 |
Mailing Address: | Po Box 1300, BELFAIR |
State: | WA |
Postal Code: | 985281300 |
Phone Number: | 3602053085 |
Fax Number: | 3602752007 |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00023492 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |