NPI Profile for Dr NICOLE R GREEN in BASEHOR, KS.
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Veterinarian |
174M00000X |
| NPI # | 1083002430 |
|
| Status | Active | |
| Credentials | DVM | |
| Entity | Individual | |
| Enumeration date | 01/07/2015 | |
| Last updated | 01/07/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE R GREEN
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