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Individual

HARRY LEE GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
205 WAITSBORO DR, SOMERSET, KY 42503-8715
(561) 317-3387
(606) 451-9728
Mailing address
PO BOX 3725, WEST SOMERSET, KY 42564-3725
(561) 317-3387
(606) 451-9728

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38863
KY

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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