Individual
GLENSON SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-053115
IL
208000000X
Pediatrics Physician
2011011566
MO
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2011011566
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125469
—
IL
Enumeration date
08/17/2007
Last updated
12/18/2025
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