Green, Kandi

Green, Kandi is an individual health care provider with primary practice located at 7010 E Bogard Rd , Wasilla AK 99654-4711. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Green, Kandi can be contacted via phone (907) 746-4748.

Contact Information

Primary practice address
7010 E Bogard Rd Wasilla AK 99654-4711
Phone: (907) 746-4748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215576921
LBN Legal business name Green, Kandi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2019
Last updated Dec 27th, 2019 - about 7 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.

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