Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 0101267898 | VA |
NPI | 1023119013 |
---|---|
Provider Name | Dr. Kirsten Lynn Greene |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 31/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A775560 | (05) | CA |