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

Mr. Glenn Kingery Jr., PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1639143654

Mr. Glenn Kingery Jr., PHYSICIANASSISTANT is a Physician Assistant in Fort Carson, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006

Practice location Address checks out

1853 Oconnell St Bldg 1042
Fort Carson, CO 80913
Phone: (719) 524-5290
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 575 (CO)

Record details

NPI number1639143654
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJuly 13, 2026

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