Glidewell, Kevin S
Glidewell, Kevin S is an sole proprietor health care provider with primary practice located at 2041 E 3Rd Dr , Mesa AZ 85204-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Glidewell, Kevin S can be contacted via phone (480) 203-6855.Contact Information
Primary practice address
2041 E 3Rd Dr
Mesa AZ 85204-1401
Phone: (480) 203-6855
Fax: (480) 900-8853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 03D2197602 | Arizona |
Profile Details
| NPI number | 1477282416 |
|---|---|
| LBN Legal business name | Glidewell, Kevin S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2022 |
| Last updated | Jun 6th, 2022 - 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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