| Kim Newell Green M.d., P.c. | |
|
2193 Fillmore St # 35 San Francisco CA 94115-2223 | |
| (415) 496-5578 | |
| Not Available |
| Full Name | Kim Newell Green M.d., P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2193 Fillmore St # 35, San Francisco, California |
| Authorized Official Name and Position | Kimberly Newell Green (OWNER) |
| Authorized Official Contact | 4154965578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Newell Green M.d., P.c. 530 Divisadero St Ste 108 San Francisco CA 94117-2213 Ph: (415) 496-5578 | Kim Newell Green M.d., P.c. 2193 Fillmore St # 35 San Francisco CA 94115-2223 Ph: (415) 496-5578 |
| NPI Number | 1548096977 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548096977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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