Gleim, Kevin

Gleim, Kevin is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw , Roanoke VA 24014-2462. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Gleim, Kevin can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Roanoke VA 24014-2462
Phone: (540) 981-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110010529 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111118 Florida

Profile Details

NPI number 1124530845
LBN Legal business name Gleim, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Dec 3rd, 2024 - about 2 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 1124530845 NPPES
Florida MEDICAID 123109200
Florida Other MQH91

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