Individual
KELLY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2211 NE 139TH ST, SUITE 360, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
2211 NE 139TH ST, SUITE 360, VANCOUVER, WA 98686-2742
(360) 487-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60538583
WA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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