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

Kevin S Glidewell

Individual provider Phlebology Physician · NPI 1477282416

Kevin S Glidewell is a Phlebology Physician in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

2041 E 3rd Dr
Mesa, AZ 85204-1401
Phone: (480) 203-6855
Fax: (480) 900-8853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 03D2197602 (AZ)

Record details

NPI number1477282416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

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