Individual
MRS. KERION GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
609 SYLAMORE AVE, MOUNTAIN VIEW, AR 72560-8802
(877) 683-2993
Mailing address
30485 HIGHWAY 263, ONIA, AR 72663-8712
(870) 615-9788
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L056924
AR
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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