Individual
KELSEE BREANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
58 ROY BEALL DR, LUVERNE, AL 36049-6800
(334) 335-1212
(334) 335-1217
Mailing address
954 SUNSET BLVD, ELBA, AL 36323-3204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-153377
AL
Other
Enumeration date
05/29/2023
Last updated
10/13/2023
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