Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dawn M Pennington, APRN

Individual provider Family Nurse Practitioner · NPI 1104645761

Dawn M Pennington, APRN is a Nurse Practitioner in Middletown, Kentucky. Qualified in 2023, 3 years ago. Practices with Kiosk Medicine Kentucky LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

12501 Shelbyville Rd
Middletown, KY 40243-1530
Phone: (502) 536-7224
Fax: (888) 419-6943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4015941 (KY)

Record details

NPI number1104645761
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kiosk Medicine Kentucky Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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