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

CHASE ROGER PENNEWELL, PA

Active

CHASE ROGER PENNEWELL, PA is a Physician Assistant healthcare provider located in LEAWOOD, Kansas. NPI 1619739604 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LEAWOOD, KS

Registration Details

NPI Number
1619739604
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2024 (2.533270076104 yrs)
Last Updated
Jul 8, 2025
License
15-03086 (KS)

Practice Information

Address
4801 COLLEGE BLVD
LEAWOOD, KS, 662111628
Browse KS providers · Browse ZIP 66211
Phone
9137213387
Fax
8168752597
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LEAWOOD, KS

Name Credential NPI
RYAN J NETTLES PA-C 1003814849
MR. MITCHELL VERN POPPE PA-C 1669456901
PAMELA MATTHEWS PAC 1952343238
JHONNY RONALD MURRUGARRA PA-C 1154403160
MRS. LORRAINE THERESA DAVIS MS, PA-C 1710020367
CRYSTAL RENEE DAVIS PA-C 1184802712
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.