Individual
MISS KELLIE CATHERINE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Mailing address
214 S PROSPECT ST, KENT, OH 44240-3424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.532861
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
10/12/2020
Last updated
07/09/2025
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