Individual
RICHARD KYLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
Mailing address
2185 SUGAR CREEK DR, CONWAY, AR 72034-9603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 273
AR
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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