Individual
BROOKE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
529 SAUNDERS RD, FORT MORGAN, CO 80701-3722
(970) 867-3937
Mailing address
11333 W 142ND ST, OVERLAND PARK, KS 66221-8061
(913) 961-7738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0004012
CO
Other
Enumeration date
02/16/2024
Last updated
06/10/2024
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