Individual provider · Type 1 NPI

Kendalyn Kaily Green

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

NPI number 1497409189 Active

Practice location

3100 Telegraph Ave # 94609
Oakland, CA 94609-3239

Call (510) 877-0336 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 1497409189

Kendalyn Kaily Green's National Provider Identifier is 1497409189, issued on Feb 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Feb 26, 2022.