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Individual

DR. KYLE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
4356 MONTEBELLO DR, SUITE 25283, COLORADO SPRINGS, CO 80918-9998
(512) 750-6112
Mailing address
4356 MONTEBELLO DR, SUITE 25283, COLORADO SPRINGS, CO 80918-9998
(512) 750-6112

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0004259
CO

Other

Enumeration date
05/18/2016
Last updated
05/18/2016
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