Kristen M Green, BSC
Individual provider Active NPI Specialist · Hatfield, PA
NPI 1295259653 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295259653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 2058 Maple Ave Apt Al2-6
Hatfield, PA 19440-1517 - Phone
- (215) 512-4684
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA | Yes |
Addresses
Primary practice location
2058 Maple Ave Apt Al2-6
Hatfield, PA 19440-1517
Mailing address
2058 Maple Ave Apt Al2-6
Hatfield, PA 19440
Phone (215) 512-4684
Other providers in Hatfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.