Individual
KATHLEEN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 CREEKWOOD CT, SPRINGFIELD, OH 45504-4056
(937) 320-0922
Mailing address
2530 SUTTON RD, YELLOW SPRINGS, OH 45387-8744
(937) 416-9155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-059888
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35.059888
OH
2083P0901X
Public Health & General Preventive Medicine Physician
35.059888
OH
Other
Enumeration date
03/22/2011
Last updated
03/28/2024
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