Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. GLENN KINGERY JR. PHYSICIAN ASSISTANT
NPI 1639143654
Physician Assistant in Fort Carson, CO

Active since February 15, 2006
1853 OCONNELL ST, BLDG 1042, FORT CARSON, CO 80913(719) 524-5290 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Glenn Kingery Jr. Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN KINGERY JR. PHYSICIAN ASSISTANT (NPI 1639143654) is an individual physician assistant in Fort Carson, Colorado, licensed in Colorado (575) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1639143654
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GLENN KINGERY JR.Credential: PHYSICIAN ASSISTANT
Location Address1853 OCONNELL ST, BLDG 1042Fort Carson, CO 80913
Mailing Address7844 Scarborough DrColorado Springs, CO 80920-7107
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1639143654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 575
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1853 OCONNELL ST, Fort Carson, CO 80913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Kingery's NPI number?

The NPI number for Glenn Kingery is 1639143654. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Glenn Kingery located?

Glenn Kingery practices at 1853 Oconnell St Bldg 1042, Fort Carson, CO 80913. The listed phone number is (719) 524-5290.

What is Glenn Kingery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenn Kingery was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.