Kelli Green in Des Moines - Psychiatry

Kelli Green - NPI 1033104294

Kelli Green is a Psychiatry in Des Moines, Iowa. Kelli Green practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kelli Green is 1033104294. The last update date is 2007-07-08.

Kelli Green's current location address is 1801 Hickman Rd, Des Moines, Iowa. You can contact this provider via phone number 5152822319 and fax number 5152823234. The mailing address for Kelli Green is 1801 Hickman Rd, Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Green
Address 1801 Hickman Rd, Des Moines, Iowa
Phone Number 5152822319
Fax Number 5152823234
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1033104294
Provider Enumeration Date 2005-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1801 Hickman Rd
City Des Moines
State Iowa (IA)
Post Code 503141505
Phone Number 5152822319
Fax Number 5152823234

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 34796
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
286476 IA --

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FAQs about Kelli Green

What is the unique 10-digit identifier code assigned to Kelli Green by the Centers for Medicare & Medicaid Services?

The Kelli Green has been issued the NPI (National Provider Identifier) 1033104294 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kelli Green's facilities are geographically located?

The facilities of Kelli Green are physically situated at the following location: 1801 Hickman Rd, Des Moines, IA, 503141505.

What is Kelli Green's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelli Green is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date did the Kelli Green receive its 1033104294 assignment from the Centers for Medicare & Medicaid Services?

The Kelli Green was assigned its 1033104294 by the Centers for Medicare & Medicaid Services on 2005-09-14.

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

The information related to Kelli 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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