NPI 1023794823
Kiarra Green, CTRS
Practice location
- Address
- G.V. (sonny) Montgomery Vamc 1500 E Woodrow Wilson Ave, Jackson, MS 39216
- Phone
- (601) 882-2897
- Mailing address
- 1500 E. Woodrow Wilson Ave., Jackson, MS 39216
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1023794823
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jun 2023
- Record last updated
- 26 Jun 2023
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.