Individual
MRS. SARAH CHINELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMETOLOGIST
Contact information
Practice address
3402 BROOKHOLLOW DR, LOUISVILLE, KY 40220-5006
(502) 533-2799
Mailing address
3402 BROOKHOLLOW DR, LOUISVILLE, KY 40220-5006
(502) 533-2799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
206490
KY
Other
Enumeration date
04/06/2019
Last updated
04/04/2025
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