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MR. KEVIN JON PENNER CCC-SLP
NPI 1982377073
Speech-Language Pathologist in Dalton Gardens, ID

Active since July 26, 2021
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815(208) 666-0611(208) 664-0566 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin Jon Penner Ccc-slp NPPES

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

MR. KEVIN JON PENNER CCC-SLP (NPI 1982377073) is an individual speech-language pathologist provider in Dalton Gardens, Idaho, licensed in Idaho (SLP-4868) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1982377073
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. KEVIN JON PENNERCredential: CCC-SLP
Location Address6270 N GOVERNMENT WAYDalton Gardens, ID 83815-9214
Mailing Address6270 N Government WayDalton Gardens, ID 83815-9214 · (208) 666-0611 · Fax (208) 664-0566
Phone(208) 666-0611
Fax(208) 664-0566
Sole ProprietorNo
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1982377073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ID · SLP-4868
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6270 N GOVERNMENT WAY, Dalton Gardens, ID 83815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 12

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

SAVANNAH LACY LOVITT MS CCC-SLP
Speech-Language Pathologist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
DR. MADISON MACKENZIE MILLER OTD, OTR
Occupational Therapist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
GABRIELLE PHILLIPS
Speech-Language Pathologist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
LAUREN ALYSSA BURGHEIMER
Speech-Language Pathologist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
SYNERGY HEALTHCARE FOR KIDS INC.
Clinic/Center (Rehabilitation)
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
DR. JENNA DE GUZMAN OTD, OTR/L
Occupational Therapist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
MRS. KAMI LUANNE MASON OTR/L
Occupational Therapist
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611
NATALIE STEILLING COTA/L
Occupational Therapy Assistant
6270 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Kootenai County (208) 666-0611

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 Kevin Penner's NPI number?

The NPI number for Kevin Penner is 1982377073. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Kevin Penner located?

Kevin Penner practices at 6270 N Government Way, Dalton Gardens, ID 83815. The listed phone number is (208) 666-0611.

What is Kevin Penner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Kevin Penner accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kevin Penner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Penner was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.