Individual
GLEN WARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 OLD SOUTH FORK RD, KINGS MOUNTAIN, KY 40442-9702
(606) 448-0693
Mailing address
24 OLD SOUTH FORK RD, KINGS MOUNTAIN, KY 40442-9702
(606) 448-0693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012813
KY
Other
Enumeration date
11/04/2018
Last updated
04/13/2023
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