Individual
KYLI GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
40 ORRS LN, TRIADELPHIA, WV 26059-1455
(304) 559-2146
Mailing address
40 ORRS LN, TRIADELPHIA, WV 26059-1455
(304) 559-2146
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
38055
WV
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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