Kelly K Greene Pc

NPI 1003950536 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1003950536
Enumeration Date 02/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELLY K KELLY
Position PRESIDENT
Phone (231) 929-9040
Fax (231) 929-5586
Practice Location
921 W 11TH ST STE 1W
TRAVERSE CITY MI, 49684-3002, US
Phone (231) 929-9040
Fax (231) 929-5586
Business Location
PO BOX 1024
CADILLAC MI, 49601-6024, US
Phone (231) 775-6076
Fax (231) 775-0027
Toxanomy
Taxonomy Code 103G00000X
License State
License Number
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According to our database, Kelly K Greene Pc NPI is 1003950536, taxonomy code is 103G00000X Kelly K Greene Pc physically located at 921 W 11th St Ste 1w, Traverse City MI, 49684-3002. NPI Number 1033115704 has the healthcare provider type.

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1003950536 NPI number is provided on an as is basis without warranty of any kind. 1003950536 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly K Greene Pc are for informational purposes only.