SearchCalifornia103K00000X

Kelly Penn

NPI 1538677216 · on the registry since 2018

Practice

Address
1871 California Ave
Corona, CA 92881
Phone
(951) 686-2020
Fax
(951) 268-9450
Clinicians at this address
14

Additional practice sites

  • 46040 Center Oak Plz, Sterling, VA

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-15

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 California