National Provider Identifier
Kevin Mark Penner, OTR/L
Kevin Mark Penner, OTR/L is listed in the NPPES registry with a primary specialty of Specialist in Newark, NY and a listed phone number of (131) 554-8663.
Profile Overview
- NPI
- 1164703765
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 09, 2011
- Last Updated
- September 09, 2011
Practice Location
- 131 Drumlin Ct
- Newark, NY 14513-1863
Phone: (131) 554-8663
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1164703765
- Entity Type
- Individual
- Last Name
- Penner
- First Name
- Kevin
- Middle Name
- Mark
- Name Prefix
- Mr.
- Credential
- OTR/L
- Mailing Street Address
- 131 Drumlin Ct
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1863
- Mailing Country
- US
- Mailing Phone
- (131) 554-8663
- Practice Street Address
- 131 Drumlin Ct
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1863
- Practice Country
- US
- Practice Phone
- (131) 554-8663
- Enumeration Date
- September 09, 2011
- Last Updated
- September 09, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)