Individual
AMY K GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
308 MEADOWLARK LN, FULTON, MO 65251-2458
(573) 592-0007
Mailing address
307 MEADOWLARK LANE, FULTON, MO 65251
(573) 642-4387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009002328
MO
Other
Enumeration date
02/03/2009
Last updated
10/17/2018
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