Individual
KEVIN GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 E NORTHERN LIGHTS BLVD STE 106, ANCHORAGE, AK 99508-4140
(907) 748-0022
(907) 277-0022
Mailing address
718 K ST STE D, ANCHORAGE, AK 99501-3318
(907) 748-0022
(907) 277-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
130654
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1736805
—
AK
Enumeration date
07/16/2018
Last updated
05/23/2023
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