Individual provider · Type 1 NPI

Kathleen Glenn, PA

Medical Physician Assistant · Aurora, CO

NPI number 1104470129 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 1453 27th St, Denver, CO 80205-2243 · (203) 326-0106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0005848 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0005848 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1104470129

Kathleen Glenn, PA's National Provider Identifier is 1104470129, issued on Jul 29, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 19, 2021.