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Individual
KAI MARCUS GREENE
Active
Individual
KAI MARCUS GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0102208608
VA
171000000X
Military Health Care Provider
Primary
17145
FL
208D00000X
General Practice Physician
0102208608
VA
208D00000X
General Practice Physician
17145
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
01/17/2019
Last updated
04/25/2026
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