Individual
DR. JEFF GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8330 WARD PKWY, SUITE 140, KANSAS CITY, MO 64114-2027
(816) 460-4202
Mailing address
8330 WARD PKWY, SUITE 140, KANSAS CITY, MO 64114-2027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13482
KS
Other
Enumeration date
09/01/2011
Last updated
11/19/2011
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