Individual
KINSI RAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, NASM-CPT
Contact information
Practice address
155 FANTACY LN, PADUCAH, KY 42003-8972
(270) 210-9159
Mailing address
155 FANTACY LN, PADUCAH, KY 42003-8972
(270) 210-9159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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