Individual
KEVIN MICHAEL PENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801-5107
(814) 237-0001
Mailing address
823 THOMPSON ST, LEMONT, PA 16851-9068
(814) 769-1330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061829
PA
Other
Enumeration date
09/02/2020
Last updated
08/12/2026
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