Andrea C Green in Crestview Hills - Physician Assistant
Andrea C Green - NPI 1356328231
Andrea C Green is a Physician Assistant in Crestview Hills, Kentucky. Andrea C Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea C Green is 1356328231. The last update date is 2021-10-13.
Andrea C Green's current location address is 350 Thomas More Pkwy, Crestview Hills, Kentucky. You can contact this provider via phone number 8594260800 and fax number 8594264140. The mailing address for Andrea C Green is 350 Thomas More Pkwy, Crestview Hills, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea C Green |
|---|---|
| Address | 350 Thomas More Pkwy, Crestview Hills, Kentucky |
| Phone Number | 8594260800 |
| Fax Number | 8594264140 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1356328231 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 350 Thomas More Pkwy |
|---|---|
| City | Crestview Hills |
| State | Kentucky (KY) |
| Post Code | 41017 |
| Phone Number | 8594260800 |
| Fax Number | 8594264140 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 55001096 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77725 | OH | -- | |
| 95006151 | KY | -- |
Post Comment/ Review Below
Could you provide the complete address where Andrea C Green is physically located?
The Andrea C Green is situated at the following address: 350 Thomas More Pkwy, Crestview Hills, KY 41017.
Could you please share the complete physical location address where Andrea C Green's facilities are situated?
The facilities of Andrea C Green are physically located at the following address: 350 Thomas More Pkwy, Crestview Hills, KY, 41017.
What is Andrea C Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrea C Green's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1356328231 assigned to Andrea C Green?
The Andrea C Green was issued its 1356328231 on 2005-12-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Andrea C Green most recently updated?
The details pertaining to the Andrea C Green, including its address, specialty, and other relevant information, were last refreshed on 2021-10-13.