Kenneth Leroy Green JR.
NPI #1699310466 in Crystal River, Florida
Provider Information
- NPI Number
- 1699310466
- Entity Type
- Individual
- Name
- Kenneth Leroy Green JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 15, 2019
- Last Updated
- Nov 15, 2019
Practice Location
- Address
- 7939 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-7931
- Phone
- (352) 257-7874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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