Kalli Kristin Penner, LCSW is a
Counselor - Mental Health based in Venedy, Illinois. Kalli Kristin Penner is licensed to practice in Illinois (license number 149.017923) and her current practice location is
13317 County Highway 12, Venedy, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 317-1537.
NPI number for Kalli Kristin Penner is 1174033112 and her current mailing address is 1848 Plum St, Jacksonville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174033112.
Healthcare Provider's Profile
Full Name | Kalli Kristin Penner |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 13317 County Highway 12, Venedy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174033112
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 10/04/2017
Medical Identifiers
Medical identifiers for Kalli Kristin Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174033112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 149.017923 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kalli Kristin Penner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kalli Kristin Penner, LCSW 1848 Plum St, Jacksonville, IL 62650-2243 Ph: (217) 883-0044 | Kalli Kristin Penner, LCSW 13317 County Highway 12, Venedy, IL 62214-1103 Ph: (618) 317-1537 |
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