# CHILLICOTHE WOMENS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881346658
- **Authorized official:** DR. YULIA PENISTON DO (PHYSICIAN)
- **Authorized official phone:** (913) 680-9830

## Contact information

- **Practice address:** 861 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
- **Practice address phone:** (913) 680-9830
- **Mailing address:** 4566 STATE HIGHWAY 190, CHILLICOTHE, MO 64601-5313
- **Mailing address phone:** (913) 680-9830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 05/17/2022