| NPI | 1790532885 |
|---|---|
| Former Name | KELLY LAYTON GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN278261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039540) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-09-16 |