Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN KENNETH PROVIDENCE, MD
ActiveDR. GLEN KENNETH PROVIDENCE, MD is a Internal Medicine healthcare provider located in SHARON, Pennsylvania. NPI 1952619975 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SHARON, PA
Registration Details
- NPI Number
- 1952619975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2010 (15.906143585345 yrs)
- Last Updated
- Dec 11, 2013
- License
-
MD443812 (PA)
Practice Information
- Address
-
197 E SILVER STSUITE 2SHARON, PA, 161462186Browse PA providers · Browse ZIP 16146
- Phone
- 7243426604
- Fax
- 7243421601
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SHARON, PA
| Name | Credential | NPI |
|---|---|---|
| RAMNATH RAU | M.D. | 1619951100 |
| GEORGE CAPELLA GARROW | MD | 1003892589 |
| NEVEN KOSIC | MD | 1831162841 |
| DR. EMMANUEL AGWU AGWA | MD | 1942519269 |
| STANISLAV V BYSHENKO | MD | 1891088415 |
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.