NPI 1710734678

Kiara L Glenn

Practitioner Supports Brokerage Agency Indianapolis, IN

Practice location

Address: 645 W 29th St, Indianapolis, IN 46208-5009
Phone: (317) 444-1784

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 23-016111-1 (IN)

Other Supports Brokerage providers in Indiana →

Registry record

NPI: 1710734678
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2024
Record last updated: 7 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.