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Kimberley Glenn, PA
NPI 1659601649 · on the registry since 2010 · sole proprietor
Practice
- Address
- 960 Woodstock Pkwy
Suite 300
Woodstock, GA 30188 - Phone
- (770) 517-2145
- Fax
- (770) 517-2147
- Organisation at this address
- Northwest Ent Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- NY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia