Green, Kelly Alissa

Green, Kelly Alissa is an individual health care provider with primary practice located at 1295 N. Martin Room B308 , Tucson AZ 85712. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Green, Kelly Alissa can be contacted via phone (520) 626-6016.

Contact Information

Primary practice address
1295 N. Martin Room B308 Tucson AZ 85712
Phone: (520) 626-6016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 12514 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1871581595
LBN Legal business name Green, Kelly Alissa
Credentials PHARM.D., PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Dec 27th, 2022 - about 2 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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