Glenn, Marty J

Glenn, Marty J is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Glenn, Marty J can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 832 Kansas

Profile Details

NPI number 1710926415
LBN Legal business name Glenn, Marty J
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 13th, 2026 - about 3 months 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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