Individual
KATHERINE MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5857 AUGUSTA MEADOWS DR, INDIANAPOLIS, IN 46254-7054
(317) 446-5554
Mailing address
5857 AUGUSTA MEADOWS DR, INDIANAPOLIS, IN 46254-7054
(317) 446-5554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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