Individual
KANEISHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MHCI
Contact information
Practice address
5301 HARDING PIKE, NASHVILLE, TN 37205-2805
(615) 354-0943
Mailing address
5301 HARDING PIKE, NASHVILLE, TN 37205-2805
(615) 354-0943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47490
TN
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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