Kingery, Glenn

Kingery, Glenn is an individual health care provider with primary practice located at 1853 Oconnell St Bldg 1042, Fort Carson CO 80913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kingery, Glenn can be contacted via phone (719) 524-5290.

Contact Information

Primary practice address
1853 Oconnell St Bldg 1042 Fort Carson CO 80913
Phone: (719) 524-5290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 575 Colorado

Profile Details

NPI number 1639143654
LBN Legal business name Kingery, Glenn
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - 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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