Kenneth E Green in Leitchfield - Family Medicine
Kenneth E Green - NPI 1083623367
Kenneth E Green is a Family Medicine in Leitchfield, Kentucky. Kenneth E Green practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth E Green is 1083623367. The last update date is 2018-12-10.
Kenneth E Green's current location address is 908 Wallace Ave, Leitchfield, Kentucky. You can contact this provider via phone number 2702591626 and fax number 2702599582. The mailing address for Kenneth E Green is 908 Wallace Ave, Leitchfield, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Green |
|---|---|
| Address | 908 Wallace Ave, Leitchfield, Kentucky |
| Phone Number | 2702591626 |
| Fax Number | 2702599582 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083623367 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2018-12-10 |
Provider Mailing Address Detail
| Address | 908 Wallace Ave |
|---|---|
| City | Leitchfield |
| State | Kentucky (KY) |
| Post Code | 427541479 |
| Phone Number | 2702591626 |
| Fax Number | 2702599582 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 23924 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1064549 | KY | PASSPORT HEALTH PLAN | |
| 2434453000 | KY | PASSPORT ADVANTAGE | |
| 64239247 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth E Green by the Centers for Medicare & Medicaid Services?
The Kenneth E Green has been assigned the NPI (National Provider Identifier) 1083623367. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth E Green?
The Kenneth E Green is physically situated at 908 Wallace Ave, in the city of Leitchfield, state of KY, with the postal code 427541479.
What is Kenneth E Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth E Green is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Kenneth E Green's 1083623367 issued?
The Kenneth E Green's 1083623367 was issued on 2006-08-05.
When was the information regarding Kenneth E Green most recently updated?
The details pertaining to the Kenneth E Green, including its address, specialty, and other relevant information, were last refreshed on 2018-12-10.