Kim Glenn in Lewiston - Physician Assistant

Kim Glenn - NPI 1891972568

Kim Glenn is a Physician Assistant in Lewiston, Idaho. Kim Glenn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kim Glenn is 1891972568. The last update date is 2008-01-24.

Kim Glenn's current location address is 415 6th St, Lewiston, Idaho. You can contact this provider via phone number 2087432511. The mailing address for Kim Glenn is 415 6th St, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Glenn
Address 415 6th St, Lewiston, Idaho
Phone Number 2087432511
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1891972568
Provider Enumeration Date 2008-01-24
Last Updated Date 2008-01-24

Provider Mailing Address Detail

Address 415 6th St
City Lewiston
State Idaho (ID)
Post Code 835012431
Phone Number 2087432511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA-714
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kim Glenn

What is the unique 10-digit identifier code assigned to Kim Glenn by the Centers for Medicare & Medicaid Services?

The Kim Glenn has been issued the NPI (National Provider Identifier) 1891972568 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kim Glenn is geographically located?

The Kim Glenn is physically situated at the following location: 415 6Th St, Lewiston, ID, 835012431.

What is the Kim Glenn's specialty and taxonomy code?

The Kim Glenn's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891972568 to Kim Glenn?

The Kim Glenn received its 1891972568 assignment from the Centers for Medicare & Medicaid Services on 2008-01-24.

As of what date was the information pertaining to Kim Glenn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kim Glenn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-24.

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