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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KIMBERLY M GREEN, CSC-AD, RAC

Active Sole Proprietor

MS. KIMBERLY M GREEN, CSC-AD, RAC is a Community/Behavioral Health healthcare provider located in RIVERDALE, Maryland. NPI 1164601787 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · RIVERDALE, MD

Registration Details

NPI Number
1164601787
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2007 (18.742627117768 yrs)
Last Updated
Aug 25, 2021
Licenses
ADD14102 (DC)
210310714 (MD)
Sole Proprietor
Yes

Practice Information

Address
4404 QUEENSBURY RD STE 105
RIVERDALE, MD, 207371074
Browse MD providers · Browse ZIP 20737
Phone
3018640919
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health

Other Community/Behavioral Health Providers in RIVERDALE, MD

Name Credential NPI
SYLVIE ABIT EBA 1649772500
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.