| 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 |