Individual
ANDREW J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7450 KESSLER ST STE 203, SHAWNEE MISSION, KS 66204-2553
(913) 676-7585
(913) 676-8189
Mailing address
7450 KESSLER ST STE 203, SHAWNEE MISSION, KS 66204-2553
(913) 676-7585
(913) 676-8189
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23873
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18081015
BLUE CROSS BLUE SHIELD
MO
01
—
460000031
RAILROAD MEDICARE
KS
Enumeration date
09/09/2005
Last updated
06/14/2022
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