MR. KEVIN A GLENN


Address: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085
Phone: 4043673014

MR. KEVIN A GLENN (NPI# 1952749947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952749947
Entity Type Individual
Full Name MR. KEVIN A GLENN
Credential MMSC, PA
Practice Address 1133 Eagles Landing Pkwy
Stockbridge
GA 30281-5085
Practice Telephone 4043673014
Mailing Telephone 4043673014
Enumeration Date 2013-06-12
Last Update Date 2017-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers KEVIN GLENN

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1790266807 Kevin Michael Glenn Counselor 659 Abrego St Ste 3, Monterey, CA 93940-3238 2018-08-27
1730539024 Kevin Lloyd Glenn Counselor 1424 S Stapley Dr, Mesa, AZ 85204-5877 2016-06-16
1801811005 Kevin Scott Glenn Chiropractor 23341 Golden Springs Dr Ste 202, Diamond Bar, CA 91765-2054 2006-07-12
1972591402 Kevin A Glenn Internal Medicine 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-10-10

Office Location

Street Address 1133 EAGLES LANDING PKWY
City STOCKBRIDGE
State GA
Zip Code 30281-5085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407842545 Rhonda Carolyn Bloschock Nurse Anesthetist, Certified Registered 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2005-09-23
1588279772 Diagnostic Pathology Associates PC Pathology 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2020-09-14
1619594843 Rowena Zheng Physical Therapist 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2020-07-03
1497380539 Tomoyo Kuriyama Nurse Practitioner 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2020-03-09
1740827971 Echiline Francois Nurse Practitioner 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-12-06
1639726441 Jessica Ramey Anesthesiologist Assistant 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-08-26
1295382802 Briana Nicole Tate-york Anesthesiologist Assistant 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-08-20
1619520293 Wendy March Greenway Nurse Practitioner 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-07-22
1528526548 Kisha Meshun Smith Registered Nurse 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-03-08
1356807895 Shellie Nicole Welch Registered Nurse 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2019-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164039095 Colette Alls Social Worker 447 Lakeshore Dr, Stockbridge, GA 30281 2020-09-24
1982216800 Pediatric and Family Behavioral Health of Georgia Counselor 1004 Ulster Court, Stockbridge, GA 30281 2020-08-21
1518577659 Qunique Taveka Toxey Behavior Technician 115 N Park Trail, Suite 123, Stockbridge, GA 30281 2020-08-04
1497377675 Melanie Harvey Pharmacist 4467 North Henry Boulevard, Stockbridge, GA 30281 2020-05-11
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1306407143 Palliative Care of Georgia. LLC Home Health 275 Corporate Center Court Ste C, Stockbridge, GA 30281 2019-06-24
1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
1306306261 Prosthetic Care, Inc. Prosthetic/Orthotic Supplier 150 County Club Drive, Suite 200, Stockbridge, GA 30281 2019-03-25
1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
1942789284 Cameren Barnes Physical Therapist 5473 N Henry Blvd, Stockbridge, GA 30281 2018-08-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366611808 Bockarie Sesay Physician Assistant 108 Lumby Ln, Stockbridge, GA 30281-0908 2008-02-28
1447464243 Vimla R Maiki Physician Assistant 830 Eagles Landing Parkway, Stockbridge, GA 30281-7366 2007-05-10
1417020405 Kizuwanda Blackburne Physician Assistant 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 2006-11-16
1881687937 Cynthia Ellen Hunt Physician Assistant 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 2005-08-24
1861009375 Amielle Lydia Burch Physician Assistant 150 N Park Trl Ste B, Stockbridge, GA 30281-7372 2020-09-29
1205461670 Alanna Marie Brooks Physician Assistant 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2020-03-06
1215591284 Daniel Roberts Vieira Physician Assistant 1050 Eagles Landing Pkwy, Stockbridge, GA 30281-9018 2019-04-25
1871051011 William Logan Layfield Physician Assistant 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 2019-03-06
1013482447 Niraj Baldev Patel Physician Assistant 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 2018-10-12
1255814307 Rosanne Pannizzo Physician Assistant 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 2018-09-13
Find all providers in STOCKBRIDGE

Competitor

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City STOCKBRIDGE
Zip Code 30281

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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