Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLEY GLENN, PA
Active Sole ProprietorKIMBERLEY GLENN, PA is a Physician Assistant healthcare provider located in WOODSTOCK, Georgia. NPI 1659601649 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODSTOCK, GA
Registration Details
- NPI Number
- 1659601649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2010 (16.577863200998 yrs)
- Last Updated
- Jan 10, 2017
- Licenses
-
013821 (NY)007388 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
960 WOODSTOCK PKWYSUITE 300WOODSTOCK, GA, 301884866Browse GA providers · Browse ZIP 30188
- Phone
- 7705172145
- Fax
- 7705172147
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WOODSTOCK, GA
| Name | Credential | NPI |
|---|---|---|
| NATALIYA VALENTINOVA | PA-C | 1568588812 |
| MRS. MICHELLE KING CLARDY | PA-C | 1073732426 |
| JORGE L LOPEZ | PAC | 1316167398 |
| ELIZABETH DANNER VANDEL | PA-C | 1215168133 |
| MISS DEIDRA DYAN MUNSANTO | PA-C | 1235432170 |
| DANA DUNLAP | — | 1659702884 |
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.