Individual
DR. CHARLES C GLENDENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 HUEBNER ROAD, FORT RILEY, KS 66442-4144
(785) 239-3627
Mailing address
650 HUEBNER ROAD, FORT RILEY, KS 66442-4030
(785) 239-3627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-37409
KS
207Q00000X
Family Medicine Physician
3574
OK
208M00000X
Hospitalist Physician
Primary
0537409
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005510B
—
OK
05
—
201109360D
—
KS
Enumeration date
03/16/2006
Last updated
06/26/2023
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