Kieran L Penning, NP | |
9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 | |
(219) 226-2380 | |
(219) 226-2381 |
Full Name | Kieran L Penning |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 9660 Wicker Avenue, St John, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629166855 | NPI | - | NPPES |
200932310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71001464A (Indiana) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 71001464A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kieran L Penning, NP 9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 Ph: (219) 226-2380 | Kieran L Penning, NP 9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 Ph: (219) 226-2380 |
Snezana Barancyk, RN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Avenue, St John, IN 46373 Phone: 219-365-1166 Fax: 219-365-8852 |