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Individual

DANIELLE M PENINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
29475 W 189TH TER, GARDNER, KS 66030-9428
(913) 856-5577
(913) 956-3907
Mailing address
29475 W 189TH TER, GARDNER, KS 66030-9428
(913) 856-5577
(913) 856-3907

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02631
KS

Other

Enumeration date
01/07/2022
Last updated
04/26/2023
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