Kieran L Penning, NP

NPI #1629166855 in St John, Indiana

Provider Information

NPI Number
1629166855
Entity Type
Individual
Name
Kieran L Penning, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
NP
Enumeration Date
Oct 11, 2006
Last Updated
Jun 23, 2010

Practice Location

Address
9660 WICKER AVENUE
Address 2
2ND FLOOR
State
Indiana
ZIP Code
46373-9487
Phone
(219) 226-2380

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner - PediatricsPediatrics

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