Individual provider · Type 1 NPI

Kevin Gleim

Medical Physician Assistant · Roanoke, VA

NPI number 1124530845 Active

Practice location

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1600 SW Archer Rd, Gainesville, FL 32610-3003 · (352) 265-0111
  • 2 Tampa General Cir, Tampa, FL 33606-3571 · (813) 821-8038

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110010529 (VA)
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000XPA9111118 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1124530845

Kevin Gleim's National Provider Identifier is 1124530845, issued on Nov 3, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roanoke, VA. The record was last updated on Dec 3, 2024.