Individual
KENNETH P GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SPRUCE ST, 100, DENVER, CO 80230-7126
(303) 394-2828
(303) 320-0242
Mailing address
200 SPRUCE ST, 100, DENVER, CO 80230-7126
(303) 394-2828
(303) 320-0242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25891
CO
207RR0500X
Rheumatology Physician
Primary
25891
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258912
—
CO
01
—
GL73764
BLUE CROSS BLUE SHIELD
CO
Enumeration date
09/12/2005
Last updated
01/13/2023
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