Individual
JOHN MORRIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LL39380
SC
207LP3000X
Pediatric Anesthesiology Physician
Primary
05028
KY
207LP3000X
Pediatric Anesthesiology Physician
TP045
KY
Other
Enumeration date
06/12/2016
Last updated
07/08/2021
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