NPI 1174256739
Katherine Denice Green
Practice location
- Address
- 12511 S Sooner Road Pl, Moore, OK 73165-8105
- Phone
- (405) 794-4647
- Fax
- (405) 794-8541
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1174256739
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jul 2022
- Record last updated
- 1 Jul 2022
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.