Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN S GLIDEWELL
Active Sole ProprietorKEVIN S GLIDEWELL is a 202K00000X healthcare provider located in MESA, Arizona. NPI 1477282416 is currently active in the NPPES registry. Verify at CMS.
202K00000X · MESA, AZ
Registration Details
- NPI Number
- 1477282416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2022 (4.2293354239268 yrs)
- Last Updated
- Jun 6, 2022
- License
-
03D2197602 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2041 E 3RD DRMESA, AZ, 852041401Browse AZ providers · Browse ZIP 85204
- Phone
- 4802036855
- Fax
- 4809008853
- Primary Specialty
-
202K00000X
202K00000X
Other 202K00000X Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH DWIGHT OSORIO | MD | 1245229087 |
| COLLIN D JOHNSTON | DO | 1225272289 |
| SARAH AGNES GARCIA | PA-C | 1598134892 |
| ALECIA DANIELLE GILPIN | — | 1063260529 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.