Individual
DR. GLEN W. SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3080 HARRODSBURG RD STE 200, LEXINGTON, KY 40503-2787
(859) 455-8346
(859) 455-8866
Mailing address
3080 HARRODSBURG RD STE 200, LEXINGTON, KY 40503-2787
(859) 455-8346
(859) 455-8866
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64039829
—
KY
Enumeration date
07/05/2005
Last updated
06/06/2019
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