NPI 1083204788

Terry Ken Pennington

Practitioner Technician Malmstrom Afb, MT

Practice location

Address: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701
Phone: (406) 731-3875

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1083204788
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2021
Record last updated: 26 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.