DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY KATHLEEN GREENE PSY.D.

MEDICARE: KELLY KATHLEEN GREENE PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301011602MI
2103G00000XClinical Neuropsychologist6301011602MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508810318
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY KATHLEEN GREENE PSY.D.
Provider Business Mailing Address
First Line : 701 US HIGHWAY 31 S
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8016
Country : US
Telephone Number : 989-497-2500
Fax Number :
Provider Business Practice Location Address
First Line : 701 US HIGHWAY 31 S
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8016
Country : US
Telephone Number : 989-497-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/28/2020

Similar Medicare Providers

1811931918 — SAGINAW VAMC
Practice Location Address:
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
49685-8016
Practice Phone: 608-821-7200
Practice Fax: 608-821-7658
1679603575 — MR. SHAWN MICHAEL BLACK M.S., P.T.
Practice Location Address:
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
49685-8016
Practice Phone: 800-406-5143
Practice Fax: 231-995-9302
1679834733 — JODI EICHINGER JOCKS M.S., R.D.
Practice Location Address:
701 US HIGHWAY 31 SOUTH
TRAVERSE CITY, MI
49685-8016
Practice Phone: 989-497-2500
Practice Fax:
1376023036 — JONATHAN ZYWICKI NP
Practice Location Address:
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
49685-8016
Practice Phone: 231-932-9570
Practice Fax:
1295207223 — DR. KRISTEN LAND DPT
Practice Location Address:
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
49685-8016
Practice Phone: 231-932-9720
Practice Fax:
1417545518 — TRACEY ANN STEVENS LMSW
Practice Location Address:
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
49685-8016
Practice Phone: 989-497-2500
Practice Fax:

Directions to “ KELLY KATHLEEN GREENE PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.