Individual
KEVIN GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 E CARACAS AVE, 400, HERSHEY, PA 17033-1184
(717) 312-1441
(717) 312-0441
Mailing address
1512 E CARACAS AVE, 400, HERSHEY, PA 17033-1184
(717) 312-1441
(717) 312-0441
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD031276E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158519
—
PA
Enumeration date
05/06/2006
Last updated
04/30/2015
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