Green, Kelly Alissa
Green, Kelly Alissa is an individual health care provider with primary practice located at 1295 N. Martin Room B308 , Tucson AZ 85712. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Green, Kelly Alissa can be contacted via phone (520) 626-6016.Contact Information
Primary practice address
1295 N. Martin Room B308
Tucson AZ 85712
Phone: (520) 626-6016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 12514 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1871581595 |
|---|---|
| LBN Legal business name | Green, Kelly Alissa |
| Credentials | PHARM.D., PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Mar 3rd, 2025 - about last year |
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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