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Kevin Penner, CCC-SLP
NPI 1982377073 · on the registry since 2021
Practice
- Address
- 6270 N Government Way
Dalton Gardens, ID 83815 - Phone
- (208) 666-0611
- Fax
- (208) 664-0566
- Organisation at this address
- Synergy Healthcare For Kids Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Speech-Language Pathologist
235Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-26
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 Idaho