Individual
KEVIN TRAVIS GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80 JESSE HILL DRIVE SE, ATLANTA, GA 30303
(404) 616-1000
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7119
(215) 662-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72717
GA
2084P0800X
Psychiatry Physician
OS019921
PA
Other
Enumeration date
09/12/2011
Last updated
12/05/2025
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