Individual
KATIE ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2790 CLAY EDWARDS DR, STE 600, N KANSAS CITY, MO 64116-3276
(816) 561-3003
(816) 889-1584
Mailing address
2790 CLAY EDWARDS DR, STE 600, N KANSAS CITY, MO 64116-3276
(816) 561-3003
(816) 889-1584
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2009005434
MO
363AS0400X
Surgical Physician Assistant
Primary
2009005434
MO
Other
Enumeration date
03/12/2009
Last updated
04/03/2018
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