Green, Keryl Jean

Green, Keryl Jean is an individual health care provider with primary practice located at 435 Mdg Unit 3215, Apo AE 09094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Green, Keryl Jean can be contacted via phone 01149637146.

Contact Information

Primary practice address
435 Mdg Unit 3215 Apo AE 09094
Phone: 01149637146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36100844 Illinois

Profile Details

NPI number 1902890965
LBN Legal business name Green, Keryl Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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