Individual
DR. ELIZABETH CARNEL PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Contact information
Practice address
3901 RAINBOW BLVD, DEPT OF PSYCHIATRY & BEHAVIORAL SCIENCES, KANSAS CITY, KS 66160-7341
(913) 588-6463
(913) 588-6414
Mailing address
3901 RAINBOW BOULEVARD, 4070 DELP, MAIL STOP 4017, KANSAS CITY, KS 66160-7816
(913) 588-6463
(913) 588-6414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0544
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11478022
BCBS KANSAS CITY
MO
Enumeration date
08/30/2006
Last updated
07/09/2007
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