Green, Kimberly Michelle

Green, Kimberly Michelle is an individual health care provider with primary practice located at 125 Queens Rd Ste 600 , Charlotte NC 28204-3215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Green, Kimberly Michelle can be contacted via phone (980) 302-6600.

Contact Information

Primary practice address
125 Queens Rd Ste 600 Charlotte NC 28204-3215
Phone: (980) 302-6600
Fax: (980) 302-6605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53728 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2020-00647 North Carolina

Profile Details

NPI number 1447424197
LBN Legal business name Green, Kimberly Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Nov 18th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447424197 NPPES
South Carolina MEDICAID 410521

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