Glenn, Kathleen

Glenn, Kathleen is an individual health care provider with primary practice located at 252 S 4Th St , Lebanon PA 17042-6111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Glenn, Kathleen can be contacted via phone (717) 851-2613.

Contact Information

Primary practice address
252 S 4Th St Lebanon PA 17042-6111
Fax: (717) 798-3677
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X SP016649 Pennsylvania

Profile Details

NPI number 1932738150
LBN Legal business name Glenn, Kathleen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Sep 1st, 2021 - about 3 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 1932738150 NPPES
Pennsylvania MEDICAID 1037625810001

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