Individual
CHASE ROGER PENNEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4801 COLLEGE BLVD, LEAWOOD, KS 66211-1628
(913) 721-3387
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-03086
KS
Other
Enumeration date
01/25/2024
Last updated
07/08/2025
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