Individual
KYNSHA L'KEYIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 N COOLIDGE AVE, WICHITA, KS 67204-4251
(316) 285-7802
Mailing address
3323 N COOLIDGE AVE, WICHITA, KS 67204-4251
(316) 285-7802
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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