Individual
DR. BRENNAN P GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING, LOUISVILLE, KY 40206-1738
(502) 589-1500
(502) 589-1556
Mailing address
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING, LOUISVILLE, KY 40206-1738
(502) 589-1500
(502) 589-1556
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045010
—
IN
05
—
64288046
—
KY
Enumeration date
10/05/2006
Last updated
08/10/2023
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