Stephen Kelly Green in Kennesaw - Chiropractor

Stephen Kelly Green - NPI 1770508145

Stephen Kelly Green is a Chiropractor in Kennesaw, Georgia. Stephen Kelly Green practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stephen Kelly Green is 1770508145. The last update date is 2007-07-08.

Stephen Kelly Green's current location address is 4200 Wade Green Rd Nw, Kennesaw, Georgia. You can contact this provider via phone number 7704272799 and fax number 7704272243. The mailing address for Stephen Kelly Green is 4200 Wade Green Rd Nw, Kennesaw, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Kelly Green
Address 4200 Wade Green Rd Nw, Kennesaw, Georgia
Phone Number 7704272799
Fax Number 7704272243
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1770508145
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4200 Wade Green Rd Nw
City Kennesaw
State Georgia (GA)
Post Code 301441237
Phone Number 7704272799
Fax Number 7704272243

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIRO02560
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Stephen Kelly Green

What is the unique provider identifier assigned to Stephen Kelly Green?

The Stephen Kelly Green has been issued the NPI (National Provider Identifier) 1770508145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Stephen Kelly Green is geographically located?

The Stephen Kelly Green is physically situated at the following location: 4200 Wade Green Rd Nw, Kennesaw, GA, 301441237.

What is Stephen Kelly Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen Kelly Green is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

When was the Stephen Kelly Green's 1770508145 issued?

The Stephen Kelly Green's 1770508145 was issued on 2006-07-13.

As of what date was the information regarding Stephen Kelly Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stephen Kelly Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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