Individual
CINDRA LYNN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
155 BRICKLAYER STREET, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Mailing address
PO BOX 1268, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1044926
KY
363L00000X
Nurse Practitioner
Primary
3008061
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100304410
—
KY
Enumeration date
08/12/2013
Last updated
09/22/2015
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