Individual
DIANE M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
313 E. FRANKLIN ST., LINCOLN, KS 67455
(785) 524-4474
(785) 524-5320
Mailing address
313 E. FRANKLIN ST., LINCOLN, KS 67455
(785) 524-4474
(785) 524-5320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-26333
KS
207Q00000X
Family Medicine Physician
106532
MO
Other
Enumeration date
03/26/2007
Last updated
10/15/2010
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