Individual
KELLY KAY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
937 PARK AVE, MEADVILLE, PA 16335-3334
(814) 724-6211
Mailing address
937 PARK AVE, MEADVILLE, PA 16335-3334
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006307
PA
Other
Enumeration date
08/20/2013
Last updated
10/18/2023
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