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Individual

DR. KRISTEN K GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3150 ROGERS RD STE 102, WAKE FOREST, NC 27587-4196
(919) 453-5363
Mailing address
2406 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6692

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101269808
VA
208000000X
Pediatrics Physician
Primary
2022-03241
NC

Other

Enumeration date
05/19/2017
Last updated
12/21/2022
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