Mrs Kellie Elizabeth Green, MA, CCC-SLP, IBCLC is a
Lactation Consultant, Non-rn based in Columbus, Ohio. Mrs Kellie Elizabeth Green is licensed to practice in Ohio (license number L-310957) and her current practice location is
3600 Olentangy River Rd, Bldg D, Ste 107, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 974-2211.
NPI number for Mrs Kellie Elizabeth Green is 1912143512 and her current mailing address is 3173 Winding Woods Dr, Powell, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912143512.
Healthcare Provider's Profile
Full Name | Mrs Kellie Elizabeth Green |
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Gender | Female |
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Speciality | Lactation Consultant, Non-rn |
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Location | 3600 Olentangy River Rd, Columbus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912143512
- Provider Enumeration Date: 01/02/2009
- Last Update Date: 11/28/2023
Medical Identifiers
Medical identifiers for Mrs Kellie Elizabeth Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912143512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP.9217 (Ohio) | Secondary |
174N00000X | Lactation Consultant, Non-rn | L-310957 (Ohio) | 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. Mrs Kellie Elizabeth 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 |
Mrs Kellie Elizabeth Green, MA, CCC-SLP, IBCLC 3173 Winding Woods Dr, Powell, OH 43065-8180 Ph: (614) 342-0610 | Mrs Kellie Elizabeth Green, MA, CCC-SLP, IBCLC 3600 Olentangy River Rd, Bldg D, Ste 107, Columbus, OH 43214-3437 Ph: (614) 974-2211 |
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