Healthcare Provider Details

I. General information

NPI: 1639996168
Provider Name (Legal Business Name): OLIVIA GLAESER CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OLATHE # 5C
KANSAS CITY KS
66160-8505
US

IV. Provider business mailing address

2000 OLATHE # 5C
KANSAS CITY KS
66160-8505
US

V. Phone/Fax

Practice location:
  • Phone: 913-945-6892
  • Fax: 913-588-0119
Mailing address:
  • Phone: 913-945-6892
  • Fax: 913-588-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: