Green, Kelly Patrick
Green, Kelly Patrick is an sole proprietor health care provider with primary practice located at 7437 Burnet Rd , Austin TX 78757-2244. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Green, Kelly Patrick can be contacted via phone (512) 451-7562.Contact Information
Primary practice address
7437 Burnet Rd
Austin TX 78757-2244
Phone: (512) 451-7562
Fax: (512) 451-7951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03284 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6702T | Texas |
Profile Details
| NPI number | 1649230947 |
|---|---|
| LBN Legal business name | Green, Kelly Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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