Kelly Douglas Green in Searcy - Neurological Surgery

Kelly Douglas Green - NPI 1912050980

Kelly Douglas Green is a Neurological Surgery in Searcy, Arkansas. Kelly Douglas Green practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Kelly Douglas Green is 1912050980. The last update date is 2021-01-08.

Kelly Douglas Green's current location address is 2900 Hawkins Dr, Searcy, Arkansas. You can contact this provider via phone number 5012782800 and fax number 5012783073. The mailing address for Kelly Douglas Green is 2900 Hawkins Dr, Searcy, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Douglas Green
Address 2900 Hawkins Dr, Searcy, Arkansas
Phone Number 5012782800
Fax Number 5012783073
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912050980
Provider Enumeration Date 2007-01-20
Last Updated Date 2021-01-08

Provider Mailing Address Detail

Address 2900 Hawkins Dr
City Searcy
State Arkansas (AR)
Post Code 721434802
Phone Number 5012782800
Fax Number 5012783073

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No E-9196
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1159308 CAQH

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FAQs about Kelly Douglas Green

What is the unique 10-digit identification code issued to Kelly Douglas Green by the Centers for Medicare & Medicaid Services?

The Kelly Douglas Green has been assigned the NPI (National Provider Identifier) 1912050980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kelly Douglas Green is physically located?

The Kelly Douglas Green is physically situated at the following address: 2900 Hawkins Dr, Searcy, AR, 721434802.

What is Kelly Douglas Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly Douglas Green is Neurological Surgery, and the corresponding taxonomy classification code for this specialized field is 207T00000X.

On what date did the Kelly Douglas Green receive the assignment of its 1912050980 from the Centers for Medicare & Medicaid Services?

The Kelly Douglas Green was issued its 1912050980 by the Centers for Medicare & Medicaid Services on 2007-01-20.

When was the information regarding Kelly Douglas Green, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Douglas Green, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-08.

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