Mackay, Glenn
Mackay, Glenn is an individual health care provider with primary practice located at 7255 Renner Rd Ste 100 , Shawnee KS 66217-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mackay, Glenn can be contacted via phone (913) 631-0405.Contact Information
Primary practice address
7255 Renner Rd Ste 100
Shawnee KS 66217-3101
Phone: (913) 631-0405
Fax: (913) 631-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0427706 | Kansas |
Profile Details
| NPI number | 1356457006 |
|---|---|
| LBN Legal business name | Mackay, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | May 26th, 2026 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356457006 | NPPES |
| Kansas | MEDICAID | 100391820C | |
| Kansas | MEDICAID | 100391820B |
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