IndividualActive
Corey Green, PA-C
NPI 1255723110 · Physician Assistant · Mcloud, OK
Provider details
- NPI number
- 1255723110
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2455 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
29501 Kickapoo Rd
Mcloud, OK 74851-8320
Phone: (405) 964-3020
Approximate (ZIP-level) locationGet directions
Mailing address
30208 Waco Rd
Mcloud, OK 74851-9012
Registry dates
- Enumerated
- 2015-03-02
- Last updated
- 2015-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.