Individual
KIMBERLY M PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 WORNALL RD, SUITE 336, KANSAS CITY, MO 64111-5941
(816) 932-6100
(816) 461-6586
Mailing address
PO BOX 931634, KANSAS CITY, MO 64193-0001
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
100119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184860B
—
KS
05
—
203615620
—
MO
Enumeration date
08/22/2005
Last updated
07/08/2007
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