Ketrina Green, is a
Registered Nurse based in Camden, Arkansas. Ketrina Green is licensed to practice in Arkansas (license number R100261) and her current practice location is
211 Jackson St Sw, Camden, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 836-5743.
NPI number for Ketrina Green is 1891943957 and her current mailing address is 715 N College Ave, El Dorado, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891943957.
Provider's Profile
| Full Name | Ketrina Green |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 211 Jackson St Sw, Camden, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891943957
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 02/03/2016
Medical Identifiers
Medical identifiers for Ketrina Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891943957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R100261 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketrina Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ketrina Green,
715 N College Ave,
El Dorado, AR 71730-4403
Ph: (870) 862-7921 | Ketrina Green,
211 Jackson St Sw,
Camden, AR 71701-3941
Ph: (870) 836-5743 |
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