Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN JON PENNER, CCC-SLP
ActiveMR. KEVIN JON PENNER, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in DALTON GARDENS, Idaho. NPI 1982377073 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · DALTON GARDENS, ID
Registration Details
- NPI Number
- 1982377073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2021 (5.0096292456043 yrs)
- Last Updated
- Jul 26, 2021
- License
-
SLP-4868 (ID)
Practice Information
- Address
-
6270 N GOVERNMENT WAYDALTON GARDENS, ID, 838159214Browse ID providers · Browse ZIP 83815
- Phone
- 2086660611
- Fax
- 2086640566
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in DALTON GARDENS, ID
| Name | Credential | NPI |
|---|---|---|
| COLLIN HUBBARD | — | 1780231456 |
| LAUREN ALYSSA BURGHEIMER | — | 1508470162 |
| SAVANNAH LACY LOVITT | MS CCC-SLP | 1295568236 |
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.