Kellye F Green

NPI #1871104810 in Altus, Oklahoma

Provider Information

NPI Number: 1871104810
Entity Type: Individual
Name: Kellye F Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 13, 2020
Last Updated: Aug 13, 2020

Practice Location

Address: 111 N HUDSON ST
City: Altus
State: Oklahoma
ZIP Code: 73521-3811
Phone: (580) 379-4085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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