Glenn, Kim

Glenn, Kim is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Glenn, Kim can be contacted via phone (208) 743-2511.

Contact Information

Primary practice address
415 6Th St Lewiston ID 83501-2431
Phone: (208) 743-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-714 Idaho

Profile Details

NPI number 1891972568
LBN Legal business name Glenn, Kim
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 17 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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