Green, Kelly Robert

Green, Kelly Robert is an individual health care provider with primary practice located at 3211 N 4Th St Ste B, Longview TX 75605-5145. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Green, Kelly Robert can be contacted via phone (903) 758-8346.

Contact Information

Primary practice address
3211 N 4Th St Ste B Longview TX 75605-5145
Phone: (903) 758-8346
Fax: (903) 757-7876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50324 Texas

Profile Details

NPI number 1942468244
LBN Legal business name Green, Kelly Robert
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated May 23rd, 2008 - about 16 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.

Request for update

Popular Providers