Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin A Glenn, MMSC, PA

Individual provider Physician Assistant · NPI 1952749947

Mr. Kevin A Glenn, MMSC, PA is a Physician Assistant in Stockbridge, Georgia. Registered with an NPI since 2013.

In the registry since
2013
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

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone: (404) 367-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952749947
Entity typeIndividual (Type 1)
GenderMale
Credentials MMSC , PA
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESApril 11, 2017

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