Individual
DR. KENDALL BRYCE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 TUCKER, FAMILY PRACTICE CENTER RM 232, ALBUQUERQUE, NM 87131-0001
(505) 272-8043
(505) 272-8044
Mailing address
2400 TUCKER, FAMILY PRACTICE CENTER RM 232, ALBUQUERQUE, NM 87131-0001
(505) 272-8043
(505) 272-8044
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD2009-0674
NM
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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