Individual provider · Type 1 NPI
Kevin Green
Family Nurse Practitioner · Troy, MI
NPI number
1508638073
Active
Practice location
671 E Big Beaver Rd Ste 111
Troy, MI 48083-1421
Fax (248) 244-8582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704366840 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508638073
Kevin Green's National Provider Identifier is 1508638073, issued on Oct 26, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Troy, MI. The record was last updated on Jan 7, 2025.