Individual provider · Type 1 NPI

Kimberly Green

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1164899019 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (801) 367-6828 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164899019

Kimberly Green's National Provider Identifier is 1164899019, issued on Aug 26, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Aug 26, 2015.