Provider Demographics
NPI:1235273699
Name:GLAHN, ANGELA KAY (PT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY
Last Name:GLAHN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 FREDERICA ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-3076
Mailing Address - Country:US
Mailing Address - Phone:270-689-2341
Mailing Address - Fax:
Practice Address - Street 1:920 FREDERICA ST STE 104
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-3076
Practice Address - Country:US
Practice Address - Phone:270-689-2341
Practice Address - Fax:270-689-2342
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004190174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist