Individual
KIMBERLY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
656 PLAYERS CROSSING WAY, BOWLING GREEN, KY 42104-5534
(270) 303-2640
Mailing address
656 PLAYERS CROSSING WAY, BOWLING GREEN, KY 42104-5534
(270) 303-2640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3137
KY
Other
Enumeration date
11/27/2014
Last updated
11/27/2014
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