Greene, Kelly Kathleen
Greene, Kelly Kathleen is an individual health care provider with primary practice located at 701 Us Highway 31 S , Traverse City MI 49685-8016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Greene, Kelly Kathleen can be contacted via phone (989) 497-2500.Contact Information
Primary practice address
701 Us Highway 31 S
Traverse City MI 49685-8016
Phone: (989) 497-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301011602 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6301011602 | Michigan |
Profile Details
| NPI number | 1508810318 |
|---|---|
| LBN Legal business name | Greene, Kelly Kathleen |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 28th, 2020 - about 6 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 | 1508810318 | NPPES |
| Michigan | MEDICAID | 1508810318 |
Popular Providers
-
Krupp, Gary J
2828 Chicago Ave South Suite 200, Minneapolis MN 55407-1320 -
Howieson, Diane B.
1020 Sw Taylor St Ste 720, Portland OR 97205-2512 -
Murphy, Keven
188 Granville Rd , North Granby CT 06060-1301 -
Hagen, Jody Lynn
2115 S Fremont Ave Ste 3000 , Springfield MO 65804-2215 -
Feher, Edward
170 Thomas Johnson Dr Ste 200, Frederick MD 21702-6200 -
Klusman, Lawrence Edward
10630 N Oak Hills Pkwy Ste B, Baton Rouge LA 70810-2859 -
Callaghan, Paul
3537 W Front St Ste F, Traverse City MI 49684-7943 -
Herz, Gordon I
478 Commerce Dr Ste 204, Madison WI 53719-4993