Individual
MRS. KATHERINE DENISE LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2899
(405) 379-4202
(405) 379-4340
Mailing address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2899
(405) 379-4202
(405) 379-4340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0089984
OK
363LF0000X
Family Nurse Practitioner
Primary
212052
OK
Other
Enumeration date
02/24/2023
Last updated
07/17/2025
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