Individual
KIM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(919) 448-6018
Mailing address
5500 CHATT CT, RALEIGH, NC 27616-5747
(530) 401-7889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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