Glenn, Jacquelyn Kay

Glenn, Jacquelyn Kay is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Ste 309 , Lone Tree CO 80124-5525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Glenn, Jacquelyn Kay can be contacted via phone (720) 820-9455.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Ste 309 Lone Tree CO 80124-5525
Fax: (303) 736-4226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40730-020 Wisconsin

Profile Details

NPI number 1831272822
LBN Legal business name Glenn, Jacquelyn Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 23rd, 2023 - about 2 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 1831272822 NPPES
Colorado MEDICAID 39557272

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