Individual
MRS. JANE ELLEN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9140 WARD PARKWAY, STE 201, KANSAS CITY, MO 64114
(816) 523-0066
(816) 523-0034
Mailing address
9140 WARD PARKWAY, STE 201, KANSAS CITY, MO 64114
(816) 523-0066
(816) 523-0034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5D05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201907102
—
MO
Enumeration date
11/14/2005
Last updated
03/31/2017
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