NPI 1003950536

Kelly K Greene PC

Organisation Clinical Neuropsychologist Traverse City, MI

Practice location

Address: 921 W 11th St STE 1w, Traverse City, MI 49684-3002
Phone: (231) 929-9040
Fax: (231) 929-5586
Mailing address: PO Box 1024, Cadillac, MI 49601-6024

Authorised official

Name: Kelly K Greene
Title: President
Phone: (231) 929-9040

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Michigan →

Registry record

NPI: 1003950536
Entity type: Organization
NPI issued: 17 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.