Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIERAN L PENNING, NP
ActiveKIERAN L PENNING, NP is a Pediatric Nurse Practitioner healthcare provider located in ST JOHN, Indiana. NPI 1629166855 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · ST JOHN, IN
Registration Details
- NPI Number
- 1629166855
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2006 (19.833551798608 yrs)
- Last Updated
- Jun 23, 2010
- Licenses
-
71001464A (IN)71001464A (IN)
Practice Information
- Address
-
9660 WICKER AVENUE2ND FLOORST JOHN, IN, 463739487Browse IN providers · Browse ZIP 46373
- Phone
- 2192262380
- Fax
- 2192262381
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
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.