William Glenn in Wichita - Physician Assistant
William Glenn - NPI 1790755833
William Glenn is a Physician Assistant in Wichita, Kansas. William Glenn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Glenn is 1790755833. The last update date is 2017-02-23.
William Glenn's current location address is 5500 E. Kellogg, Wichita, Kansas. You can contact this provider via phone number 3166852221. The mailing address for William Glenn is 5500 E. Kellogg, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Glenn |
|---|---|
| Address | 5500 E. Kellogg, Wichita, Kansas |
| Phone Number | 3166852221 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1790755833 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2017-02-23 |
Provider Mailing Address Detail
| Address | 5500 E. Kellogg |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672180000 |
| Phone Number | 3166852221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00625 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100340680A | KS | -- |
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What is the unique identification code assigned to William Glenn by the Centers for Medicare & Medicaid Services?
The William Glenn has been issued the NPI (National Provider Identifier) 1790755833. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the William Glenn located?
The William Glenn is located at 5500 E. Kellogg, Wichita, KS 672180000.
What is William Glenn's area of expertise and its corresponding taxonomy classification?
The William Glenn's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the William Glenn receive its 1790755833 assignment from the Centers for Medicare & Medicaid Services?
The William Glenn was assigned its 1790755833 by the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the William Glenn's information last updated?
The William Glenn's information was last updated on 2017-02-23.