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Contact Information

KRISTEN H GREEN, OD
7025 PARK CENTRE DR
SALT LAKE CITY, UT84121-6619
 Phone: 801-233-9334
 Fax: 801-233-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KRISTEN H GREEN · (Female)

NPI # 1720116387
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 2774694-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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