Healthcare Provider Details

I. General information

NPI: 1750201091
Provider Name (Legal Business Name): KATHRYN GREENSTEIN PARAMEDIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 TAYLOR ST
AMHERST VA
24521-2705
US

IV. Provider business mailing address

119 TAYLOR ST
AMHERST VA
24521-2705
US

V. Phone/Fax

Practice location:
  • Phone: 832-661-3402
  • Fax:
Mailing address:
  • Phone: 832-661-3402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberE202501099
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: