Kathleen Kelly Peniston, NP is a psychiatric/mental health nurse practitioner in Charlotte, NC with 24 years of experience. Kathleen Kelly Peniston, NP NPI is 1346260254. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000
The provider's business location address is:
501 BILLINGSLEY RD
STE B
CHARLOTTE, NC
ZIP 28211-009
Phone: (704) 444-2400
The NPI 1346260254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/18/2023.