Individual provider · Type 1 NPI
Kieran L. Penning, NP
Pediatric Nurse Practitioner · St. John, IN
NPI number
1629166855
Active
Practice location
9660 Wicker Avenue, 2nd Floor
St. John, IN 46373-9487
Fax (219) 226-2381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001464A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71001464A (IN) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
About NPI 1629166855
Kieran L. Penning, NP's National Provider Identifier is 1629166855, issued on Oct 11, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. John, IN. The record was last updated on Jun 23, 2010.