Individual
KELLY KATHLEEN GREENE
Active
Individual
KELLY KATHLEEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301011602
MI
103T00000X
Psychologist
6301011602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508810318
—
MI
Enumeration date
05/19/2006
Last updated
02/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up