Individual
MRS. KIMBERLY SUE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
1290 MINGO RD, CHILLICOTHE, OH 45601-7575
(740) 703-3687
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51.002249
OH
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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