MR. Carl Lee Green, P.A.

NPI #1619935335 in Kingman, Kansas

Provider Information

NPI Number: 1619935335
Entity Type: Individual
Name: MR. Carl Lee Green, P.A.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 2, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 750 W D AVE
City: Kingman
State: Kansas
ZIP Code: 67068-1266
Phone: (620) 532-3147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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