Provider Demographics
NPI:1326765223
Name:MCGLOTHIN, ANTHONY KAWAN
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:KAWAN
Last Name:MCGLOTHIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8075 READING RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-1408
Mailing Address - Country:US
Mailing Address - Phone:513-953-0308
Mailing Address - Fax:
Practice Address - Street 1:8075 READING RD STE 106
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-1408
Practice Address - Country:US
Practice Address - Phone:513-953-0308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver