Glenn, Kiara L
Glenn, Kiara L is an sole proprietor health care provider with primary practice located at 645 W 29Th St , Indianapolis IN 46208-5009. She recently has only one registered license in Agencies / Supports Brokerage, which is considered as her primary health care specialty. Glenn, Kiara L can be contacted via phone (317) 444-1784.Contact Information
Primary practice address
645 W 29Th St
Indianapolis IN 46208-5009
Phone: (317) 444-1784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Supports Brokerage | 251X00000X | 23-016111-1 | Indiana |
Profile Details
| NPI number | 1710734678 |
|---|---|
| LBN Legal business name | Glenn, Kiara L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2024 |
| Last updated | May 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710734678 | NPPES |
| Indiana | MEDICAID | 300080784 |
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