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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY PENN

Active Sole Proprietor

GARY PENN is a Behavioral Health, Residential healthcare provider located in XENIA, Ohio. NPI 1396694022 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · XENIA, OH

Registration Details

NPI Number
1396694022
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2026 (0.59274776066971 yrs)
Last Updated
Jan 26, 2026
Sole Proprietor
Yes

Practice Information

Address
206 PURCELL DR
XENIA, OH, 453851214
Browse OH providers · Browse ZIP 45385
Phone
9374325104
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.