Individual
JEFFREY J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 LINVILLE DR, SUITE A, PARIS, KY 40361-2128
(859) 987-3577
(859) 987-3593
Mailing address
8 LINVILLE DR, SUITE A, PARIS, KY 40361-2128
(859) 987-3577
(859) 987-3593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34918
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000727377
ANTHEM
KY
05
—
64349186
—
KY
Enumeration date
08/18/2006
Last updated
11/16/2011
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