Individual provider · Type 1 NPI

Kerri Penke

Student in an Organized Health Care Education/Training Program · Prior Lake, MN

NPI number 1215518311 Active

Practice location

16180 Hastings Ave SE
Prior Lake, MN 55372-9227

Call (952) 443-4600 Map

Mailing address

4315 Golf Club Dr Apt 6511
Auburn, AL 36830-5971

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215518311

Kerri Penke's National Provider Identifier is 1215518311, issued on Apr 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Prior Lake, MN. The record was last updated on Apr 20, 2021.