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Individual

JENNIFER COSSUTO GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 S LIMESTONE STE K201, LEXINGTON, KY 40536-1902
(859) 218-2509
(859) 218-2509
Mailing address
234 E GRAY ST STE 334, LOUISVILLE, KY 40202-1902
(502) 629-3099

Taxonomy

Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
50104
KY
2080C0008X
Child Abuse Pediatrics Physician
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2014
Last updated
05/05/2023
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