NPI 1144200684

Kenneth L Pennington, MD

Practitioner Medical Oncology Physician Goshen, IN

Practice location

Address: 200 High Park Ave, Goshen, IN 46526-4810
Phone: (574) 535-2888
Mailing address: 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703

Registered specialties (2)

Medical Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RX0202X Licence 01024970A (IN)

Other Internal Medicine providers in Indiana →

Specialist

Other Service Providers Taxonomy 174400000X Licence 01024970 (IN)

Other Specialist providers in Indiana →

Registry record

NPI: 1144200684
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2006
Record last updated: 11 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.