Individual
KYLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0110
NM
Other
Enumeration date
06/02/2020
Last updated
09/11/2025
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