Kimberly Dawn Green

NPI #1134711765 in Jay, Oklahoma

Provider Information

NPI Number
1134711765
Entity Type
Individual
Name
Kimberly Dawn Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Feb 4, 2021
Last Updated
Feb 4, 2021

Practice Location

Address
1015 W WASHBOURNE ST
City
Jay
ZIP Code
74346-4205
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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