Individual
CHARLES D PENCE
Active
Individual
CHARLES D PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
14229
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001521
BCBS
KS
01
—
12149391
MULTIPLAN
KS
01
—
16915
COVENTRY
KS
01
—
200142
HPK
KS
01
—
722
PHS
KS
Enumeration date
06/27/2006
Last updated
07/13/2007
Update your record
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