Green, Kenneth E

Green, Kenneth E is an individual health care provider with primary practice located at 1895 Elizabethtown Rd , Leitchfield KY 42754-9138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Green, Kenneth E can be contacted via phone (270) 230-0182.

Contact Information

Primary practice address
1895 Elizabethtown Rd Leitchfield KY 42754-9138
Phone: (270) 230-0182
Fax: (270) 230-0014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23924 Kentucky

Profile Details

NPI number 1083623367
LBN Legal business name Green, Kenneth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083623367 NPPES
Kentucky Other 1064549 PASSPORT HEALTH PLAN
Kentucky Other 2434453000 PASSPORT HEALTH PLAN
Kentucky MEDICAID 64239247 PASSPORT HEALTH PLAN

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