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Mr. Kevin Mark Penner, OTR/L
Specialist in Newark, New York
NPI 1164703765

Kevin Mark Penner is a Specialist based in Newark, NY. Kevin Mark Penner practices in Newark, NY and has the professional credentials of OTR/L. The NPI Number for Kevin Mark Penner is 1164703765 and holds a License No. 008617-1 (New York).

The current practice location address for Kevin Mark Penner is 131 Drumlin Ct, Newark, NY and can be reached out via phone at 131-554-8663.

Location: 131 Drumlin Ct, Newark, NY, 14513-1863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164703765
Provider Name
Kevin Mark Penner
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
131 Drumlin Ct, Newark, NY, 14513-1863
Phone Number
131-554-8663
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
131 Drumlin Ct
City
Newark
State
New York
Zip
14513-1863
Phone Number
131-554-8663
Fax Number
person
Provider Business Mailing Address Details
Address
131 Drumlin Ct
City
Newark
State
New York
Zip
14513-1863
Phone Number
131-554-8663
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
008617-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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