# DR. STEVEN D GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487633996
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 22106 | KY | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 05/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000047424 | ANTHEM | KY |
| 01 | — | 080025172 | MEDICARE RAILROAD | KY |
| 01 | — | 0841011 | UNITED HEALTH CARE | KY |
| 01 | — | 163403900 | US DEPARTMENT OF LABOR | KY |
| 01 | — | 234603 | FEDERAL BLACK LUNG | KY |
| 01 | — | 4584127 | AETNA | KY |
| 05 | — | 64221062 | — | KY |