Provider Demographics
NPI:1942315908
Name:KEHLMANN, GLENN S (MD)
Entity Type:Individual
Prefix:
First Name:GLENN
Middle Name:S
Last Name:KEHLMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:637 WASHINGTON ST
Mailing Address - Street 2:STE 100
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4500
Mailing Address - Country:US
Mailing Address - Phone:617-754-1700
Mailing Address - Fax:617-754-1740
Practice Address - Street 1:637 WASHINGTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4500
Practice Address - Country:US
Practice Address - Phone:617-754-1700
Practice Address - Fax:617-754-1740
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2013-04-22
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Provider Licenses
StateLicense IDTaxonomies
MA55467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine