Organization
GLUTOX HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GEORGE KAKNES (MEDICAL DIRECTOR)
(540) 595-9332
Entity
Organization
Contact information
Practice address
1824 9TH ST SE STE C, ROANOKE, VA 24013-2902
(540) 595-9332
Mailing address
1824 9TH ST SE STE C, ROANOKE, VA 24013-2902
(540) 595-9332
(540) 766-5456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/28/2023
Last updated
10/01/2025
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