Individual
SHARON F PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE, RLD
Contact information
Practice address
9300 E 29TH ST N, SUITE #209, WICHITA, KS 67226-2182
(316) 293-2633
(316) 293-1866
Mailing address
1010 N KANSAS ST, SUITE #3054, WICHITA, KS 67214-3124
(316) 293-3429
(316) 293-1882
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
562
KS
Other
Enumeration date
11/28/2006
Last updated
11/07/2013
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