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Kieran L Penning, NP
Pediatric Nurse Practitioner in St John, Indiana
NPI 1629166855

Kieran L Penning is a Pediatric Nurse Practitioner based in St John, IN and is specialized in Pediatrics. Kieran L Penning practices in St John, IN and has the professional credentials of NP. The NPI Number for Kieran L Penning is 1629166855 and holds a License No. 71001464A (Indiana).

The current practice location address for Kieran L Penning is 9660 Wicker Avenue, St John, IN and can be reached out via phone at 219-226-2380 and via fax at 219-226-2381.

Location: 9660 Wicker Avenue, St John, IN, 46373-9487
person
Provider Profile Details
NPI Number
1629166855
Provider Name
Kieran L Penning
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9660 Wicker Avenue, St John, IN, 46373-9487
Phone Number
219-226-2380
Fax Number
219-226-2381
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200932310 05 IN
institution
Provider Business Practice Location Address Details
Address
9660 Wicker Avenue
City
State
Zip
46373-9487
Phone Number
219-226-2380
Fax Number
219-226-2381
person
Provider Business Mailing Address Details
Address
9660 Wicker Avenue
City
State
Zip
46373-9487
Phone Number
219-226-2380
Fax Number
219-226-2381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001464A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
71001464A (Indiana)
Definition
Definition to come...
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