Glenn, Kimberly Lynette

Glenn, Kimberly Lynette is an individual health care provider with primary practice located at 855 Coshocton Ave Ste H , Mount Vernon OH 43050-1975. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Glenn, Kimberly Lynette can be contacted via phone (740) 224-3922.

Contact Information

Primary practice address
855 Coshocton Ave Ste H Mount Vernon OH 43050-1975
Phone: (740) 224-3922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.18224 Ohio

Profile Details

NPI number 1992176606
LBN Legal business name Glenn, Kimberly Lynette
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2015
Last updated Jul 14th, 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 1992176606 NPPES
Ohio MEDICAID 0148226
Ohio MEDICAID 1992176606

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