MALIK GREEN

OVERLAND PARK, KS
NPI1265278519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2020024438)
Enumeration Date2024-07-06
Last Update Date2024-07-06
Business Address
MALIK GREEN MSES, ATC, LAT
10700 NALL AVE
OVERLAND PARK, KS 66211-1206
Phone number: 816-878-0537
Mailing Address
MALIK GREEN MSES, ATC, LAT
1105 NE HENDRIX DR
LEES SUMMIT, MO 64086-3519
Phone number: