IndividualActive
Kennedy Green, RN
NPI 1821817826 · Adult Psychiatric/Mental Health Registered Nurse · Shelton, WA
Provider details
- NPI number
- 1821817826
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN.61608385 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
307 W Cota St
Shelton, WA 98584-2265
Phone: (360) 205-8001
Approximate (ZIP-level) locationGet directions
Mailing address
170 E Rhododendron Pl
Shelton, WA 98584-9676
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.