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Search › Washington › 101YA0400X

Johneric Penney, SUDPT

NPI 1164175725 · on the registry since 2022

Practice

Address
921 S Auburn St
Kennewick, WA 99336
Phone
(509) 460-2606
Fax
(509) 269-7587
Organisation at this address
Elijah Family Homes
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
175T00000X
251B00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington