KEVIN BERNARD GREEN

CORDOVA, TN
NPI1003319161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: TN  065153548)
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
KEVIN BERNARD GREEN
10217 WOODLAND HILLS DR
CORDOVA, TN 38018-6663
Phone number: 901-736-7089
Mailing Address
KEVIN BERNARD GREEN
10217 WOODLAND HILLS DR
CORDOVA, TN 38018-6663
Phone number: 901-736-7089
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TRANS 2020