DR. Kathleen Destefano Glenn, D.O.

NPI #1760772198 in Springfield, Pennsylvania

Provider Information

NPI Number: 1760772198
Entity Type: Individual
Name: DR. Kathleen Destefano Glenn, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Apr 19, 2011
Last Updated: May 20, 2015

Practice Location

Address: 196 W SPROUL RD
Address 2: HEALTHPLEX SUITE 205
City: Springfield
State: Pennsylvania
ZIP Code: 19064-2045
Phone: (610) 604-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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