NPI 1083002430

Nicole Renee Green, DVM

Practitioner Veterinarian Basehor, KS

Practice location

Address: 14370 Parallel Rd, Basehor, KS 66007-3004
Phone: (913) 724-1919
Fax: (913) 724-2013

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 6612 (KS)

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Registry record

NPI: 1083002430
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2015
Record last updated: 7 Jan 2015

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.