Individual
MALIK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSES, ATC, LAT
Contact information
Practice address
10700 NALL AVE, OVERLAND PARK, KS 66211-1206
(816) 878-0537
Mailing address
1105 NE HENDRIX DR, LEES SUMMIT, MO 64086-3519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020024438
MO
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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