Provider Demographics
NPI:1801989751
Name:RICHARD D PENNINGTON PA
Entity type:Organization
Organization Name:RICHARD D PENNINGTON PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:D.C.
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PENNINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-827-8727
Mailing Address - Street 1:204 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2816
Mailing Address - Country:US
Mailing Address - Phone:785-827-8727
Mailing Address - Fax:
Practice Address - Street 1:204 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2816
Practice Address - Country:US
Practice Address - Phone:785-827-8727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS014155Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
KSU34590Medicare UPIN
KS014157Medicare ID - Type Unspecified