Individual
DR. CHRISTOPHER C PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 W 6TH ST, SUITE 100, LAWRENCE, KS 66049-4815
(785) 505-5160
(785) 505-5282
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0424078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100272900B
—
KS
Enumeration date
06/30/2005
Last updated
10/26/2023
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