Individual
KRISTEN M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC
Contact information
Practice address
2058 MAPLE AVE APT AL2-6, HATFIELD, PA 19440-1517
(215) 512-4684
Mailing address
2058 MAPLE AVE APT AL2-6, HATFIELD, PA 19440
(215) 512-4684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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