Green, Kenneth Walter
Green, Kenneth Walter is an sole proprietor health care provider with primary practice located at 307 Rockmoor Dr , Georgetown TX 78628-8983. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Green, Kenneth Walter can be contacted via phone (512) 609-9188.Contact Information
Primary practice address
307 Rockmoor Dr
Georgetown TX 78628-8983
Phone: (512) 609-9188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT122578 | Texas |
Profile Details
| NPI number | 1366964462 |
|---|---|
| LBN Legal business name | Green, Kenneth Walter |
| Credentials | LMT, OM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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