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NPI Code Detail

MEDICARE: KANOHOALI'I J GLENN

MEDICARE: KANOHOALI'I J GLENN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant14-02639KS

General Provider Information

NPI Number : 1356680565
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANOHOALI'I J GLENN
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 3627 SE 29TH ST STE 107
Second Line :
City : TOPEKA
State : KS
Zip : 66605-2013
Country : US
Telephone Number : 785-266-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2013
Last Update Date : 08/05/2024

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Directions to “ KANOHOALI'I J GLENN ” Practice Location

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