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Kasey Cory Green
Family Nurse Practitioner in Moore, Oklahoma
NPI 1508268442

Kasey Cory Green is a Family Nurse Practitioner based in Moore, OK and is specialized in Family. Kasey Cory Green practices in Moore, OK. The NPI Number for Kasey Cory Green is 1508268442 and holds a License No. 87123 (Oklahoma).

The current practice location address for Kasey Cory Green is 2900 S Telephone Rd, Moore, OK and can be reached out via phone at 405-237-7507.

Location: 2900 S Telephone Rd, Moore, OK, 73160-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508268442
Provider Name
Kasey Cory Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 S Telephone Rd, Moore, OK, 73160-2968
Phone Number
405-237-7507
Fax Number
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 S Telephone Rd
City
Moore
State
Oklahoma
Zip
73160-2968
Phone Number
405-237-7507
Fax Number
person
Provider Business Mailing Address Details
Address
2900 S Telephone Rd
City
Moore
State
Oklahoma
Zip
73160-2968
Phone Number
405-237-7507
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
87123 (Oklahoma)
Definition
Definition to come...
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