Individual
KATHRYN MARIE GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 303-8700
(920) 456-5590
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036119191
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
1625
WI
208VP0014X
Interventional Pain Medicine Physician
18509
NV
208VP0014X
Interventional Pain Medicine Physician
60823734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373483
—
WI
Enumeration date
07/28/2006
Last updated
10/29/2025
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