Individual
DR. ZACHARY GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5880
(859) 578-5881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04485
KY
Other
Enumeration date
05/19/2014
Last updated
11/21/2024
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