Individual provider · Type 1 NPI

Autumn Danyelle Glass

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1255246245 Active

Practice location

780 Rose St
Lexington, KY 40536-0001

Call (270) 590-3686 Map

Mailing address

5056 Randolph Rd
Edmonton, KY 42129-9006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255246245

Autumn Danyelle Glass's National Provider Identifier is 1255246245, issued on Aug 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Aug 15, 2026.