Individual provider · Type 1 NPI
Kelly Rae Glenn, DPM
Foot & Ankle Surgery Podiatrist · San Francisco, CA
NPI number
1104568419
Active
Practice location
4150 Clement St
San Francisco, CA 94121-1563
Mailing address
1209 Macarthur Blvd
Oakland, CA 94610-2846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | UNKNOWN (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104568419
Kelly Rae Glenn, DPM's National Provider Identifier is 1104568419, issued on Apr 8, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Francisco, CA. The record was last updated on Apr 8, 2022.