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

Kim Glenn, PA

Individual provider Physician Assistant · NPI 1891972568

Kim Glenn, PA is a Physician Assistant in Springfield, Oregon. Qualified in 2007, 19 years ago. Practices with G Street Integrated Health, a 22-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1435 G St
Springfield, OR 97477-4113
Phone: (541) 735-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-714 (ID)

Record details

NPI number1891972568
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 24, 2008
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address1435 G St, Springfield, OR 97477-4113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice G Street Integrated Health — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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