Individual
JULIE ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2301
(913) 451-7546
(816) 524-4929
Mailing address
11550 GRANADA ST, LEAWOOD, KS 66211-1453
(913) 451-7546
(913) 663-2411
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2010017730
MO
Other
Enumeration date
06/23/2010
Last updated
08/04/2017
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