Individual
DR. KEMAR GREEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5101022844
MI
2084P0800X
Psychiatry Physician
Primary
H89631
MD
Other
Enumeration date
01/21/2015
Last updated
09/04/2020
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