| Doctor Name: | KATEY GREENE |
| NPI Number: | 1033548086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NTP |
| License Number: | |
| Business Practice Address: | 28677 Buffalo Park Rd Ste 204 Evergreen, CO - 804397378 |
| Business Phone Number: | 3034893027 |
| Business Fax Number: | |
| Mailing Address: | 635 Humphrey Dr, EVERGREEN |
| State: | CO |
| Postal Code: | 804399637 |
| Phone Number: | 3034893027 |
| Fax Number: | 3035264072 |
| NPI Enumeration Date: | 11/09/2013 |
| NPI Last Update Date: | 11/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |