Individual
KENDRA D GLASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 564-3681
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 564-3681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
NATIONAL
TX
363A00000X
Physician Assistant
Primary
0006075
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006075
PHYSICIAN ASSISTANT
CO
Enumeration date
09/19/2007
Last updated
05/10/2024
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