Legal Business Name
Penny Medicinebear
Also Known As
Arrive Alive
NPI Number
1487972287
NPI Type
Organization
Enumeration Date
05/04/2010
Specialties
(Taxonomies)Licenses
State
Kentucky
Kentucky
License Number
3585
3586
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 433
324 SUNSET AVE
City
Smiths Grove
Smiths Grove
State
KY
KY
Postal Code
42171-0433
42171-8164
Country
US
US
Telephone Number
(270) 784-7079
(270) 784-7079
Authorized Official
Name
Mr. Michael Medicinebear
Title or Position
CO-OWNER
Telephone Number
(270) 784-7079
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/04/2010