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Contact Information

KENDRA D GLASSMAN, PA-C, RD
6814 BLUE SPRUCE STREET
FREDERICK, CO80530
 Phone: 303-564-3681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KENDRA D GLASSMAN · (Female)

NPI # 1518153923
Status Active
Credentials PA-C, RD
Entity Individual
Enumeration date 09/19/2007
Last updated 05/10/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 0006075
  • TX License # NATIONAL
  • CO Other 0006075 PHYSICIAN ASSISTANT
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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