Green, Kendra Jane
Green, Kendra Jane is an individual health care provider with primary practice located at 4905 Stone Falls Ctr Ste B , O Fallon IL 62269-7802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Kendra Jane can be contacted via phone (618) 277-0001.Contact Information
Primary practice address
4905 Stone Falls Ctr Ste B
O Fallon IL 62269-7802
Phone: (618) 277-0001
Fax: (618) 277-7339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015569 | Illinois |
Profile Details
| NPI number | 1952849770 |
|---|---|
| LBN Legal business name | Green, Kendra Jane |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Feb 17th, 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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