Green, Sandra D.
Green, Sandra D. is an individual health care provider with primary practice located at 2505 Larkin Rd Ste 103 , Lexington KY 40503-3256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Sandra D. can be contacted via phone (859) 600-1999.Contact Information
Primary practice address
2505 Larkin Rd Ste 103
Lexington KY 40503-3256
Phone: (859) 600-1999
Fax: (859) 600-1998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41906 | Kentucky |
Profile Details
| NPI number | 1700041977 |
|---|---|
| LBN Legal business name | Green, Sandra D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2008 |
| Last updated | Jan 31st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700041977 | NPPES |
| Kentucky | MEDICAID | 7100104650 |
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