Green, Kanisha Renee

Green, Kanisha Renee is an individual health care provider with primary practice located at 3840 Rosin Ct , Sacramento CA 95834-1639. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Green, Kanisha Renee can be contacted via phone (916) 230-2748.

Contact Information

Primary practice address
3840 Rosin Ct Sacramento CA 95834-1639
Phone: (916) 230-2748
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-MWBXCL California

Profile Details

NPI number 1609271303
LBN Legal business name Green, Kanisha Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Jul 18th, 2023 - about 3 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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