Individual provider · Type 1 NPI

Kelly Green

Emergency Registered Nurse · Fort Stewart, GA

NPI number 1164821997 Active

Practice location

1061 Harmon Ave, Winn Army Community Hospital
Fort Stewart, GA 31314-5641

Mailing address

909 Bradwell St
Hinesville, GA 31313-2204

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003XRN 178967 (GA)

Emergency Registered Nurse: Definition to come...

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About NPI 1164821997

Kelly Green's National Provider Identifier is 1164821997, issued on Aug 18, 2014. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Fort Stewart, GA. The record was last updated on Aug 20, 2014.