Kenneth E Green, MD

NPI #1508802950 in La Grange, Kentucky

Provider Information

NPI Number: 1508802950
Entity Type: Individual
Name: Kenneth E Green, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 22, 2006
Last Updated: May 2, 2019

Practice Location

Address: 1025 NEW MOODY LN
City: La Grange
State: Kentucky
ZIP Code: 40031-9154
Phone: (502) 222-0598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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