CARL LEE GREEN

KINGMAN, KS
NPI1619935335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1500576)
Enumeration Date2006-05-02
Last Update Date2007-07-09
Business Address
Mr. CARL LEE GREEN P.A.
750 W D AVE
KINGMAN, KS 67068-1266
Phone number: 620-532-3147
Mailing Address
Mr. CARL LEE GREEN P.A.
1015 N FIREFLY CIR
WICHITA, KS 67235-9437
Phone number: 316-721-5284