Kayla Penner

NPI #1366860256 in Clinton Township, Michigan

Provider Information

NPI Number: 1366860256
Entity Type: Individual
Name: Kayla Penner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 29, 2014
Last Updated: Mar 29, 2014

Practice Location

Address: 15930 19 MILE RD
Address 2: SUITE 150
City: Clinton Township
State: Michigan
ZIP Code: 48038-1155
Phone: (586) 464-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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