Individual
KATHRYN B GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101225444
VA
208000000X
Pediatrics Physician
Primary
P1458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006703712
—
VA
01
—
294140
ANTHEM BC
VA
01
—
3649627
AETNA HMO
VA
01
—
41232
OPTIMA HEALTH
VA
01
—
432058755
PHCS
VA
01
—
4768718/9149430
CIGNA
VA
01
—
633510
SOUTHERN HEALTH
VA
01
—
7358237
AETNA PPO
VA
01
—
8165265
UNITED HEALTHCARE
VA
Enumeration date
02/21/2006
Last updated
01/19/2012
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