Individual
GLENN MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 STATE AVE STE 100, KANSAS CITY, KS 66102-1281
(913) 287-7800
(913) 287-1112
Mailing address
5701 STATE AVE STE 100, KANSAS CITY, KS 66102-1281
(913) 287-7800
(913) 287-1112
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0427706
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100391820B
—
KS
05
—
100391820C
—
KS
Enumeration date
08/22/2006
Last updated
02/08/2012
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