Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry S Green MD PLC

Organization Clinic/Center · NPI 1356523492

Kerry S Green MD PLC is a Clinic/Center in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

6112 E Brown Rd
Mesa, AZ 85205-4955
Phone: (480) 924-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 29662 (AZ)

Record details

NPI number1356523492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Green — Owner · (480) 924-4422
Other names Skyline Medicine
NPI enumeratedNovember 30, 2007
Last updated in NPPESMarch 8, 2012
Mailing address6112 E Brown Rd, Mesa, AZ 85205-4955

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