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Individual

KATHLEEN ADELE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7660
Mailing address
PO BOX 100294, GAINESVILLE, FL 32610-0294

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME126987
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018303600
FL
Enumeration date
02/11/2009
Last updated
04/07/2017
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