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Contact Information

KENNETH A GLAVAN, MD PHD
20 MEDICAL VILLAGE DR
STE 132
EDGEWOOD, KY41017
 Phone: 859-578-5880
 Fax: 859-578-5881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH A GLAVAN · (Male)

NPI Number 1831155167
Status Active
Credentials MD PHD
Entity Individual
Enumeration date 04/25/2006
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 28334
  • OH License # 35079176G
  • KY Medicaid 64283344
  • OH Medicaid 2548256
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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