SearchCalifornia175T00000X

Kanisha Green

NPI 1609271303 · on the registry since 2014

Practice

Address
3840 Rosin Ct
Sacramento, CA 95834
Phone
(916) 230-2748
Organisation at this address
Pacific Clinics
Peach Tree Healthcare
Care Services Of Sacramento, Inc.
Progress Ranch Treatment Services For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address
173

Additional practice sites

  • 3440 Viking Dr Ste 114, Sacramento, CA

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
171M00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California