Individual
KIMBERLY R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
613 23RD ST STE G30, ASHLAND, KY 41101-2881
(606) 327-0036
(606) 326-1159
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 327-0036
(606) 326-1159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1056649
KY
363LF0000X
Family Nurse Practitioner
Primary
3007107
KY
Other
Enumeration date
11/16/2011
Last updated
10/02/2019
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