Kelli Green MD

NPI 1033104294 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1033104294
Gender Female
Enumeration Date 09/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1801 HICKMAN RD
BROADLAWNS MEDICAL CENTER
DES MOINES IA, 50314-1505, US
Phone (515) 282-2319
Fax (515) 282-3234
Business Location
1801 HICKMAN RD
BROADLAWNS MEDICAL CENTER
DES MOINES IA, 50314-1505, US
Phone (515) 282-2319
Fax (515) 282-3234
Toxanomy
Taxonomy Code 2084P0800X
License State Iowa
License Number 34796
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According to our database, Kelli Green MD NPI is 1033104294, taxonomy code is 2084P0800X and license number is 34796, license state is located at Iowa. Kelli Green MD physically located at 1801 Hickman Rd, Des Moines IA, 50314-1505. NPI Number Kelli Green MD has the Individual type.

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1033104294 NPI number is provided on an as is basis without warranty of any kind. 1033104294 is maintained by the National Plan & Provider Enumeration System. The contents of Kelli Green MD are for informational purposes only.