Gladis, Kevin D.

Gladis, Kevin D. is an individual health care provider with primary practice located at 3729 Teays Valley Rd Ste 100 , Hurricane WV 25526-9705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gladis, Kevin D. can be contacted via phone (304) 760-6040.

Contact Information

Primary practice address
3729 Teays Valley Rd Ste 100 Hurricane WV 25526-9705
Phone: (304) 760-6040
Fax: (304) 760-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 70686 West Virginia

Profile Details

NPI number 1235482951
LBN Legal business name Gladis, Kevin D.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Jun 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235482951 NPPES
West Virginia MEDICAID 3810024563

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