Individual
MRS. DENICE M PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4601 W 109TH ST, SUITE 350, OVERLAND PARK, KS 66211-1318
(913) 451-8555
Mailing address
14006 EBY ST, OVERLAND PARK, KS 66221-2113
(913) 851-4734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45288
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643500A
—
KS
Enumeration date
10/10/2006
Last updated
07/08/2007
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