Green, Kelli
Green, Kelli is an individual health care provider with primary practice located at 1801 Hickman Rd Broadlawns Medical Center, Des Moines IA 50314-1505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Green, Kelli can be contacted via phone (515) 282-2319.Contact Information
Primary practice address
1801 Hickman Rd Broadlawns Medical Center
Des Moines IA 50314-1505
Phone: (515) 282-2319
Fax: (515) 282-3234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 34796 | Iowa |
Profile Details
| NPI number | 1033104294 |
|---|---|
| LBN Legal business name | Green, Kelli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1033104294 | NPPES |
| Iowa | MEDICAID | 286476 |
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