Female

Kelly M. Green RD

Registered Dietitian in Bowie, MD(View on Map)

Full Name

Kelly M Green RD

NPI Number

1013533728

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/18/2020

Specialties

(Taxonomies)

Code

133V00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

12201 STANFIELD CT
12201 STANFIELD CT

City

Bowie
Bowie

State

MD
MD

Postal Code

20720-4439
20720-4439

Country

US
US

Telephone Number

(301) 741-9380
(301) 741-9380

Identifiers

Identifier

0

Identifier State

Unknown

Identifier Issuer

N/A

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

N/A

Endpoint Description

N/A

Use

Other

Content Type

Other

Other Description:
N/A

Affiliation

N

Endpoint Location

12201 Stanfield CtBowie, MD207204439US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/18/2020

Provider Address

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