Melissa Leigh Penny DO

NPI 1699970194 - Family Medicine - 207Q00000X

NPI Details
NPI 1699970194
Gender Female
Enumeration Date 06/15/2007
Last Updated 08/05/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
307 BOATNER RD
SUITE 114
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8600
Fax
Business Location
3610 E ROSS PKWY
WICHITA KS, 67210-1311, US
Phone (316) 866-2000
Fax (850) 883-8192
Toxanomy
Taxonomy Code 207Q00000X
License State Kansas
License Number 056725
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According to our database, Melissa Leigh Penny DO NPI is 1699970194, taxonomy code is 207Q00000X and license number is 056725, license state is located at Kansas. Melissa Leigh Penny DO physically located at 307 Boatner Rd, Eglin Afb FL, 32542-1302. NPI Number Melissa Leigh Penny DO has the Individual type.

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1699970194 NPI number is provided on an as is basis without warranty of any kind. 1699970194 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Leigh Penny DO are for informational purposes only.