Individual
AMY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5846 KIRKSTONE CIR, RICHMOND, VA 23227-2348
(304) 915-4700
Mailing address
5846 KIRKSTONE CIR, RICHMOND, VA 23227-2348
(304) 915-4700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E951766
DRIVERS LICENSE SE
WV
Enumeration date
08/24/2021
Last updated
08/24/2021
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