| Doctor Name: | SHARON F PENNER |
| NPI Number: | 1750457107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDE, RLD |
| License Number: | 562 |
| Business Practice Address: | 9300 E 29th St N Suite #209 Wichita, KS - 672262182 |
| Business Phone Number: | 3162932633 |
| Business Fax Number: | 3162931866 |
| Mailing Address: | 1010 N Kansas St, Suite #3054 WICHITA |
| State: | KS |
| Postal Code: | 672143124 |
| Phone Number: | 3162933429 |
| Fax Number: | 3162931882 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 11/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |