MR. Kevin Joseph Green, P.A

NPI #1053521302 in Johnstown, Pennsylvania

Provider Information

NPI Number: 1053521302
Entity Type: Individual
Name: MR. Kevin Joseph Green, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: May 23, 2007
Last Updated: Apr 25, 2014

Practice Location

Address: 1450 SCALP AVE
Address 2: SUITE 106
City: Johnstown
State: Pennsylvania
ZIP Code: 15904-3374
Phone: (814) 266-8466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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