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Individual

KELLY M GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 903-3000
Mailing address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 903-3000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08350
LA

Other

Enumeration date
07/31/2015
Last updated
07/31/2015
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