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Kelly Green, O.D
NPI 1649230947 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7437 Burnet Rd
Austin, TX 78757 - Phone
- (512) 451-7562
- Fax
- (512) 451-7951
- Organisation at this address
- American Family Optical
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- MO, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Texas