Glenn-Snyder, Kelly Rae

Glenn-Snyder, Kelly Rae is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 301 , Olympia Fields IL 60461-1182. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Glenn-Snyder, Kelly Rae can be contacted via phone (708) 379-2850.

Contact Information

Primary practice address
3700 W 203Rd St Ste 301 Olympia Fields IL 60461-1182
Phone: (708) 379-2850
Fax: (708) 503-3810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041266672 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041266672 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209000688 Illinois

Profile Details

NPI number 1700990983
LBN Legal business name Glenn-Snyder, Kelly Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 21st, 2022 - 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 1700990983 NPPES
Illinois Other IL5686023 MEDICARE PTAN
Illinois Other P00147725 MEDICARE PTAN

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