Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth A Glavan, MDPHD

Individual provider Surgery Physician · NPI 1831155167

Kenneth A Glavan, MDPHD is a Surgery Physician in Edgewood, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2006.

Licensed in
KY, OH
In the registry since
2006
Specialties on file
2

Practice location Address checks out

20 Medical Village Dr Ste 132
Edgewood, KY 41017
Phone: (859) 578-5880
Fax: (859) 578-5881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 28334 (KY)
Surgery Physician Taxonomy 208600000X · Licence 35079176G (OH)

Record details

NPI number1831155167
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESAugust 31, 2018
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Other providers in Edgewood