Individual provider · Type 1 NPI

Stephen Kelly Green, DC

Chiropractor · Kennesaw, GA

NPI number 1770508145 Active

Practice location

4200 Wade Green Rd NW, Suite 27
Kennesaw, GA 30144-1237

Call (770) 427-2799 Map

Fax (770) 427-2243

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIRO02560 (GA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1770508145

Stephen Kelly Green, DC's National Provider Identifier is 1770508145, issued on Jul 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kennesaw, GA. The record was last updated on Jul 8, 2007.