Kenyotta E Green, LPN
NPI #1033456983 in Jamesville, New York
Provider Information
- NPI Number
- 1033456983
- Entity Type
- Individual
- Name
- Kenyotta E Green, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 12, 2013
- Last Updated
- Jan 12, 2013
Practice Location
- Address
- 5781 STONE GATE HTS APT 6
- City
- Jamesville
- State
- New York
- ZIP Code
- 13078-4512
- Phone
- (315) 450-3358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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