Individual
DR. REBECCA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BRECKENRIDGE LN, LOUISVILLE, KY 40207-4697
(502) 893-2015
Mailing address
1001 BRECKENRIDGE LN, LOUISVILLE, KY 40207-4697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1922DT
KY
Other
Enumeration date
07/24/2013
Last updated
03/09/2015
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