Provider Demographics
NPI:1417231796
Name:PENNY, OYINKAN O (NP)
Entity Type:Individual
Prefix:MRS
First Name:OYINKAN
Middle Name:O
Last Name:PENNY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:OYINKAN
Other - Middle Name:
Other - Last Name:OGUNTUASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6675 HOLMES RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1150
Mailing Address - Country:US
Mailing Address - Phone:816-361-0055
Mailing Address - Fax:816-361-5775
Practice Address - Street 1:6675 HOLMES RD
Practice Address - Street 2:SUITE 430
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1150
Practice Address - Country:US
Practice Address - Phone:816-361-0055
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011031627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily