Individual
JENNIFER COSSUTO GREEN
Active
Individual
JENNIFER COSSUTO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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