Individual
KEVIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 E BIG BEAVER RD STE 111, TROY, MI 48083-1421
(248) 244-8545
(248) 244-8582
Mailing address
671 E BIG BEAVER RD STE 111, TROY, MI 48083-1421
(248) 244-8545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704366840
MI
Other
Enumeration date
10/26/2023
Last updated
01/07/2025
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