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Individual

KEVIN D. GLADIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
3729 TEAYS VALLEY RD STE 100, HURRICANE, WV 25526-9705
(304) 760-6040
(304) 760-6042
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70686
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810024563
WV
Enumeration date
10/18/2012
Last updated
06/03/2014
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