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Tiffany Lynn Green

In Home Supportive Care in Kansas City, MO. Individual provider (NPI-1).

NPI number1801435482
StatusActive
Last updated in NPPESMar 5, 2020

Details

NPI
1801435482
Entity type
Individual (NPI-1)
Name
Tiffany Lynn Green
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2019
Certification date
Mar 5, 2020
Last updated
Mar 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care–MOYes

Practice location

111 W 10th St Ste 207
Kansas City, MO 64105-1700

Phone 913-225-0565

Mailing address

111 W 10th St Ste 207
Kansas City, MO 64105-1700

Phone 913-225-0565

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