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1831155167
KENNETH A GLAVAN
EDGEWOOD, KY
NPI
1831155167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KY 28334)
Additional Taxonomies
208600000X Surgery
(Licence: OH 35079176G)
Enumeration Date
2006-04-25
Last Update Date
2018-08-31
Business Address
KENNETH A GLAVAN MD PhD
20 MEDICAL VILLAGE DR STE 132
EDGEWOOD, KY 41017
Phone number: 859-578-5880
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Mailing Address
KENNETH A GLAVAN MD PhD
PO BOX 635283
CINCINNATI, OH 45263-5283
Phone number: 859-578-5880
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