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1003950536
KELLY K GREENE PC
TRAVERSE CITY, MI
NPI
1003950536
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Entity Type
Organization
Authorized Contact
KELLY K GREENE
President
231-929-9040
Organization Subpart ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
Enumeration Date
2007-02-17
Last Update Date
2020-08-22
Business Address
KELLY K GREENE PC
921 W 11TH ST STE 1W
TRAVERSE CITY, MI 49684-3002
Phone number: 231-929-9040
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Mailing Address
KELLY K GREENE PC
PO BOX 1024
CADILLAC, MI 49601-6024
Phone number: 231-775-6076
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