Green, Kathleen R
Green, Kathleen R is an individual health care provider with primary practice located at 6408 Copps Ave , Monona WI 53716-3702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Green, Kathleen R can be contacted via phone (608) 417-3000.Contact Information
Primary practice address
6408 Copps Ave
Monona WI 53716-3702
Phone: (608) 417-3000
Fax: (608) 417-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 9014 | Wisconsin |
Profile Details
| NPI number | 1477079069 |
|---|---|
| LBN Legal business name | Green, Kathleen R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2017 |
| Last updated | Jul 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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