Provider Demographics
NPI:1598797433
Name:GLASER, DONALD KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:KENNETH
Last Name:GLASER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1717 HARPER RD
Mailing Address - Street 2:SECOND FLOOR SUITE C
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3373
Mailing Address - Country:US
Mailing Address - Phone:304-461-3914
Mailing Address - Fax:304-461-3917
Practice Address - Street 1:1717 HARPER RD
Practice Address - Street 2:SECOND FLOOR SUITE C
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3373
Practice Address - Country:US
Practice Address - Phone:304-461-3914
Practice Address - Fax:304-461-3917
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2011-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME50715207RC0000X
WV23658207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease