Individual
KEVIN GLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8905 W LINCOLN AVE STE 409, WEST ALLIS, WI 53227-2469
(414) 328-8770
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72751
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101138
—
WI
Enumeration date
04/17/2016
Last updated
07/13/2026
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