Individual
KATHLEEN ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
1651 PALM AVE, WINTER PARK, FL 32789-1648
(321) 278-3446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007787
FL
367500000X
Certified Registered Nurse Anesthetist
RN9378227
FL
Other
Enumeration date
04/02/2020
Last updated
04/10/2024
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