Kelly Green, PA-C
NPI #1255887386 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1255887386
- Entity Type
- Individual
- Name
- Kelly Green, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 29, 2016
- Last Updated
- Aug 29, 2016
Practice Location
- Address
- 1237 SHIREHALL PARK LN
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-0601
- Phone
- (919) 667-3714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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