Individual
MR. KEVIN MICHAEL PENNINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
296 RANDALL RD, GENEVA, IL 60134-4203
(630) 208-4215
(630) 208-5507
Mailing address
953 AUDUBON LN, AURORA, IL 60506-8852
(630) 896-2711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/19/2006
Last updated
07/08/2007
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