Individual
DEVIN WESLEY PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3610 E ROSS PKWY, WICHITA, KS 67210-1311
(316) 866-2065
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0533434
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200576670C
—
KS
Enumeration date
06/15/2007
Last updated
10/01/2015
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