Glick, Kristina K

Glick, Kristina K is an individual health care provider with primary practice located at 3118 S Lafountain St , Kokomo IN 46902-3710. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Glick, Kristina K can be contacted via phone (765) 864-4160.

Contact Information

Primary practice address
3118 S Lafountain St Kokomo IN 46902-3710
Phone: (765) 864-4160
Fax: (765) 400-4467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28148252A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003254 Indiana

Profile Details

NPI number 1154647634
LBN Legal business name Glick, Kristina K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Jan 24th, 2023 - about last year

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 1154647634 NPPES
Indiana MEDICAID 200991290

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