Individual
GEORGINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6675 HOLMES RD STE 450, KANSAS CITY, MO 64131-1173
(816) 276-7650
Mailing address
14805 HADLEY ST, OVERLAND PARK, KS 66223-2772
(913) 403-6036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015020155
MO
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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