Al Green

NPI #1538126420 in Newton, Kansas

Provider Information

NPI Number
1538126420
Entity Type
Individual
Name
Al Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 26, 2006
Last Updated
Sep 10, 2007

Practice Location

Address
215 S PINE ST
Address 2
SUITE 201
City
Newton
State
Kansas
ZIP Code
67114-3765
Phone
(316) 283-9977

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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