IndividualActive
Kenneth Pennington, M.D.
NPI 1144200684 · Medical Oncology Physician · Goshen, IN
Provider details
- NPI number
- 1144200684
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01024970 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
200 High Park Ave
Goshen, IN 46526-4810
Phone: (574) 535-2888
Approximate (ZIP-level) locationGet directions
Mailing address
3702 New Vision Dr
Fort Wayne, IN 46845-1703
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2019-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.