Individual
ELIJAH M PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135470
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
558301
KS
Other
Enumeration date
06/10/2025
Last updated
06/24/2025
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