Individual
KELLI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 LIATRIS LN, NORTH POLE, AK 99705-5082
(214) 893-4823
Mailing address
1503 LIATRIS LN, NORTH POLE, AK 99705-5082
(214) 893-4823
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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