Individual
KRISTIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
902 E PINECREST DR, MARSHALL, TX 75670-7310
(903) 407-4494
Mailing address
902 E PINECREST DR, MARSHALL, TX 75670-7310
(903) 407-4494
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
99231
TX
Other
Enumeration date
02/23/2015
Last updated
10/17/2016
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