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1194305045
KENNETH L GREEN
LITTLE ROCK, AR
NPI
1194305045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-13
Last Update Date
2023-05-25
Business Address
KENNETH L GREEN QBHP
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211-3507
Phone number: 501-603-2147
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Mailing Address
KENNETH L GREEN QBHP
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211-3507
Phone number: 501-603-2147
Copy
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