Individual
KAYLA QUINNAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 EDENTON ST, NEW BERN, NC 28560-3006
(252) 665-3559
Mailing address
1804 EDENTON ST, NEW BERN, NC 28560-3006
(252) 665-3559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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