Most Relevant Information
Provider Data
| NPI Number: | 1003505462 |
| Provider Name: | KENDRIA GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN299707 |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
101 WASHINGTON LN # 224
JENKINTOWN
PA
190463505
Practice Location Phone/Fax
| Phone: | 2154036984 |
| Fax: |
Provider Mailing Location
406 VALLEY RD
ELKINS PARK
PA
190273209
Provider Mailing Phone/Fax
| Phone: | 2672429721 |
| Fax: |