Kristen Nina Grace Green, OD

NPI #1063049336 in Omaha, Nebraska

Provider Information

NPI Number: 1063049336
Entity Type: Individual
Name: Kristen Nina Grace Green, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 25, 2020
Last Updated: Jul 25, 2022

Practice Location

Address: 4353 DODGE ST
City: Omaha
State: Nebraska
ZIP Code: 68131-2709
Phone: (402) 552-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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