Green, Kailyn O
Green, Kailyn O is an individual health care provider with primary practice located at 601 1St Ave N , Great Falls MT 59401-2510. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Green, Kailyn O can be contacted via phone (406) 454-6973.Contact Information
Primary practice address
601 1St Ave N
Great Falls MT 59401-2510
Phone: (406) 454-6973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 32900 | Montana |
Profile Details
| NPI number | 1881155257 |
|---|---|
| LBN Legal business name | Green, Kailyn O |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2019 |
| Last updated | Jul 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881155257 | NPPES |
| Montana | Other | 32900 | STATE LICENSE |
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