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Individual
KIMBERLY LYNETTE GLENN
Active
Individual
KIMBERLY LYNETTE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.18224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148226
—
OH
05
—
1992176606
—
WV
Enumeration date
10/08/2015
Last updated
07/14/2021
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