Individual
KILEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
428 N 7TH ST, FREDONIA, KS 66736-1315
(620) 378-2001
(620) 378-4697
Mailing address
428 N 7TH ST, FREDONIA, KS 66736-1315
(620) 378-2001
(620) 378-4697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62126
KS
Other
Enumeration date
06/19/2023
Last updated
03/23/2026
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