Green, Kimberly

Green, Kimberly is an sole proprietor health care provider with primary practice located at 11838 193Rd St , Saint Albans NY 11412-3339. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Green, Kimberly can be contacted via phone (646) 492-4268.

Contact Information

Primary practice address
11838 193Rd St Saint Albans NY 11412-3339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F342570-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 6421131 New York

Profile Details

NPI number 1902187909
LBN Legal business name Green, Kimberly
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Jul 9th, 2019 - about 5 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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