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

MS. Kimberly Dainelle Green

Individual provider Contractor · NPI 1891083887

MS. Kimberly Dainelle Green is a Contractor in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
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Practice location Address checks out

761 Poplar St Ste # 2 I
Macon, GA 31201-2082
Phone: (478) 461-1955
Fax: (478) 745-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 011-R-0210 (GA)

Record details

NPI number1891083887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2011
Last updated in NPPESJuly 12, 2011

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