Green, Kimberly Dawn

Green, Kimberly Dawn is an individual health care provider with primary practice located at 1015 W Washbourne St , Jay OK 74346-4205. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Green, Kimberly Dawn can be contacted via phone (918) 273-1841.

Contact Information

Primary practice address
1015 W Washbourne St Jay OK 74346-4205
Phone: (918) 273-1841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1134711765
LBN Legal business name Green, Kimberly Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2021
Last updated Feb 4th, 2021 - about 4 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