Individual
KAITLYN MACKENZIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
215 W BOWERY ST, AKRON, OH 44308-1069
(303) 543-8050
Mailing address
215 W BOWERY ST, AKRON, OH 44308-1069
(303) 543-8050
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0034512
OH
Other
Enumeration date
08/01/2023
Last updated
04/02/2025
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