Kelly K Greene Pc | |
921 W 11th St Ste 1w Traverse City MI 49684-3002 | |
(231) 929-9040 | |
(231) 929-5586 |
Full Name | Kelly K Greene Pc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 921 W 11th St Ste 1w, Traverse City, Michigan |
Authorized Official Name and Position | Kelly K Greene (PRESIDENT) |
Authorized Official Contact | 2319299040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelly K Greene Pc Po Box 1024 Cadillac MI 49601-6024 Ph: (231) 775-6076 | Kelly K Greene Pc 921 W 11th St Ste 1w Traverse City MI 49684-3002 Ph: (231) 929-9040 |
NPI Number | 1003950536 |
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Provider Enumeration Date | 02/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003950536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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