1012 E CHURCH ST SUITE A
WARREN, AR 71671-3509 US PECOS Enrolled
Kerry Franklin Pennington
Family Medicine Physician
- WARREN, AR
- Phone: (870)-226-6754
- Last Updated 6/7/2021
Overview
Kerry Franklin Pennington is a Family Medicine Physician in the WARREN area and has over 50 years of experience. Kerry Franklin Pennington primary office location is at 1012 E CHURCH ST and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Arkansas College Of Medicine and graduated 1974
Kerry Franklin Pennington is affiliated with six hospitals in the WARREN area, including . The NPI number is 1013983873 and the information was updated approximately 3 years ago.
Kerry Franklin Pennington is affiliated with one medical group in the WARREN area, MAINLINE HEALTH SYSTEMS, INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| C5438 | AR |
| Type/Issuer | Identifier | State |
|---|---|---|
| HEALTHLINK | 432635 | AR |
| MEDICAID | 101336001 | AR |
| QUALCHOICE PROVIDER # | 12791000000 | AR |
| UNITED HEALTHCARE | 710554390 | AR |
| BCBS PROVIDER # | 54011 | AR |
| AETNA | 5733222 | AR |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | AR | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040915000950 |
| PECOS Individual PAC ID: | 2163499450 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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