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KELLY PENNINGTON
NPI 1962217661
Technician - Personal Care Attendant in Las Vegas, NV

Active since February 10, 2025
4245 S GRAND CANYON DR STE 216, LAS VEGAS, NV 89147(702) 751-0356 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Pennington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PENNINGTON (NPI 1962217661) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1962217661
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKELLY PENNINGTON
Location Address4245 S GRAND CANYON DR STE 216Las Vegas, NV 89147-7165
Mailing Address4245 S Grand Canyon Dr Ste 216Las Vegas, NV 89147-7165 · (702) 751-0356
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1962217661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
4245 S GRAND CANYON DR STE 216, Las Vegas, NV 89147
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM PARKHURST
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
BREYANNA PARKER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
LATONIA WILLIAMS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
ELENA MENDOZA-FOUTS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DIANA ESTRELLA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DEBRA ZARDER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
RENE WOOD
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
JADEDEEN CASTANEDA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Pennington's NPI number?

The NPI number for Kelly Pennington is 1962217661. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Kelly Pennington located?

Kelly Pennington practices at 4245 S Grand Canyon Dr Ste 216, Las Vegas, NV 89147. The listed phone number is (702) 751-0356.

What is Kelly Pennington's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kelly Pennington was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.