Individual
KAYLA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3501 SW MARKET ST, LEES SUMMIT, MO 64082-2327
(816) 623-3563
Mailing address
429 SE BREON BAY, LEES SUMMIT, MO 64063-3638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023025201
MO
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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