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KIM GLENN, PA
PA
Physician Assistant
NPI: 1891972568IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-714(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2007
Contact & Hours
- Address
- 415 6TH ST
LEWISTON, ID 83501 - Phone
- (208) 743-2511
Quick Facts
- NPI
- 1891972568
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 19
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