GLENN KINGERY

FORT CARSON, CO
NPI1639143654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  575)
Enumeration Date2006-02-15
Last Update Date2007-07-08
Business Address
Mr. GLENN KINGERY physician assistant
1853 OCONNELL ST BLDG 1042
FORT CARSON, CO 80913
Phone number: 719-524-5290
Mailing Address
Mr. GLENN KINGERY physician assistant
7844 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7107
Phone number: