Mr. Kevin Jon Penner, CCC-SLP
Mr. Kevin Jon Penner, CCC-SLP is a Speech-Language Pathologist in Dalton Gardens, Idaho. Licensed in Idaho. Registered with an NPI since 2021.
- Licensed in
- ID
- In the registry since
- 2021
What do these letters mean?
- CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
- A speech-language pathologist certified by ASHA.
Practice location Address checks out
6270 N Government WayDalton Gardens, ID 83815-9214
Phone: (208) 666-0611
Fax: (208) 664-0566
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SLP-4868 (ID) |
|---|
Record details
| NPI number | 1982377073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCC-SLP |
| Sole proprietor | No |
| NPI enumerated | July 26, 2021 |
| Last updated in NPPES | July 26, 2021 |
| Certification date | July 26, 2021 |
Other providers in Dalton Gardens
-
Lauren Alyssa Burgheimer
6270 N Government Way, Dalton Gardens, ID 83815-9214 · (208) 666-0611
-
Collin Hubbard
6270 N Government Way, Dalton Gardens, ID 83815 · (714) 658-2705
-
Savannah Lacy Lovitt, MSCCC-SLP
6270 N Government Way, Dalton Gardens, ID 83815-9214 · (208) 666-0611
-
Gabrielle Phillips
6270 N Government Way, Dalton Gardens, ID 83815-9214 · (208) 666-0611