Individual provider · Type 1 NPI

Chase Roger Pennewell, PA

Physician Assistant · Leawood, KS

NPI number 1619739604 Active

Practice location

4801 College Blvd
Leawood, KS 66211-1628

Call (913) 721-3387 Map

Fax (816) 875-2597

Mailing address

5101 College Blvd
Leawood, KS 66211-1614

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15-03086 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619739604

Chase Roger Pennewell, PA's National Provider Identifier is 1619739604, issued on Jan 25, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Leawood, KS. The record was last updated on Jul 8, 2025.