Individual
ANNE ELIZABETH PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2020 N TYLER RD, SUITE 112, WICHITA, KS 67212-4916
(316) 729-9100
(316) 729-0407
Mailing address
2020 N TYLER RD, SUITE 112, WICHITA, KS 67212-4916
(316) 729-9100
(316) 729-0407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00397
KS
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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