Individual
MR. KENNETH LAMONT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSP
Contact information
Practice address
8 PINEHURST CT, FAIRFIELD, OH 45014-4752
(513) 390-5244
Mailing address
8 PINEHURST CT, FAIRFIELD, OH 45014-4752
(513) 390-5244
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RH849066
OH
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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