MR. Kelly Robert Green, M.S.

NPI #1942468244 in Longview, Texas

Provider Information

NPI Number: 1942468244
Entity Type: Individual
Name: MR. Kelly Robert Green, M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: M.S.
Enumeration Date: May 23, 2008
Last Updated: May 23, 2008

Practice Location

Address: 3211 N 4TH ST
Address 2: STE B
City: Longview
State: Texas
ZIP Code: 75605-5145
Phone: (903) 758-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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