KIERAN L PENNING NP
NPI 1629166855
Nurse Practitioner - Pediatrics in St John, IN

Q: What is Kieran Penning's NPI number?

The NPI number for Kieran Penning is 1629166855. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Kieran Penning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kieran Penning was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006

9660 WICKER AVENUE, 2ND FLOOR, ST JOHN, IN 46373(219) 226-2380(219) 226-2381 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kieran L Penning Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERAN L PENNING NP (NPI 1629166855) is an individual pediatrics provider in St John, Indiana, licensed in Indiana (71001464A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629166855

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIERAN L PENNINGCredential: NP

Location Address9660 WICKER AVENUE, 2ND FLOORSt John, IN 46373-9487

Mailing Address9660 Wicker Avenue, 2nd FloorSt John, IN 46373-9487 · (219) 226-2380 · Fax (219) 226-2381

Phone(219) 226-2380

Fax(219) 226-2381

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJune 23, 2010

✔ NPI 1629166855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71001464A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71001464A (IN)

9660 WICKER AVENUE, St John, IN 46373

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Other Identifiers 1

Medicaid200932310IN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SNEZANA BARANCYK RN FNP

Nurse Practitioner (Family)

9660 WICKER AVENUE
ST JOHN, IN 46373

Lake County (219) 365-1166

BINA K PAREKH DO

Family Medicine

9660 WICKER AVENUE
ST JOHN, IN 46373

Lake County (219) 365-1166

ROBERT A DERSHEWITZ MD

Pediatrics

9660 WICKER AVENUE, 2ND FLOOR
ST JOHN, IN 46373

Lake County (219) 226-2380

THOMAS MICHAEL ANGER MD

Pediatrics

9660 WICKER AVENUE, 2ND FLOOR
ST JOHN, IN 46373

Lake County (219) 226-2380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kieran Penning's NPI number?

The NPI number for Kieran Penning is 1629166855. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Kieran Penning located?

Kieran Penning practices at 9660 Wicker Avenue 2nd Floor, St John, IN 46373. The listed phone number is (219) 226-2380.

What is Kieran Penning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kieran Penning was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.