Individual
DR. DAWSON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, DC
Contact information
Practice address
841 S HILLSIDE ST, WICHITA, KS 67211-3005
(316) 364-3030
Mailing address
1026 E 14TH ST, KEARNEY, MO 64060-8728
(425) 457-2285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2016016282
MO
363L00000X
Nurse Practitioner
10013535
OR
363L00000X
Nurse Practitioner
2020032639
MO
363L00000X
Nurse Practitioner
Primary
53-81608-101
KS
Other
Enumeration date
02/05/2020
Last updated
01/04/2024
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