Individual
KYLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 MEDICAL CENTER PKWY STE 330, MURFREESBORO, TN 37129-2586
(615) 396-4464
Mailing address
105 MAVELLA CT, GOODLETTSVILLE, TN 37072-1338
(317) 502-5190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242294
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
33188
TN
Other
Enumeration date
08/20/2021
Last updated
01/20/2023
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