Glavan, Kenneth A

Glavan, Kenneth A is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 132, Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Glavan, Kenneth A can be contacted via phone (859) 578-5880.

Contact Information

Primary practice address
20 Medical Village Dr Ste 132 Edgewood KY 41017
Phone: (859) 578-5880
Fax: (859) 578-5881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35079176G Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 28334 Kentucky

Profile Details

NPI number 1831155167
LBN Legal business name Glavan, Kenneth A
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831155167 NPPES
Kentucky MEDICAID 64283344
Kentucky MEDICAID 2548256

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