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Individual

KENDA LYNELLE GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
16 ECHO TER, WHEELING, WV 26003-6008
(304) 502-2228

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
97589
WV

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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