Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin Mark Penner, OTR/L

Individual provider Specialist · NPI 1164703765

Mr. Kevin Mark Penner, OTR/L is a Specialist in Newark, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

131 Drumlin Ct
Newark, NY 14513-1863
Phone: (131) 554-8663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 008617-1 (NY)

Record details

NPI number1164703765
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 9, 2011
Last updated in NPPESSeptember 9, 2011

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