Nurse Practitioner, Pediatrics
KIERAN PENNING NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629166855 · enumerated 2006-10-11 · record updated 2010-06-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 9660 WICKER AVENUE, 2ND FLOOR, ST JOHN, IN, 46373-9487 (219) 226-2380 Fax (219) 226-2381 Google Maps Apple Maps OpenStreetMap
- Practice location 9660 WICKER AVENUE, 2ND FLOOR, ST JOHN, IN, 46373-9487 (219) 226-2380 Fax (219) 226-2381 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · License 71001464A IN
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 71001464A IN
In this directory
Locations and evidence
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Practice location
ST JOHN, IN, 463739487
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.