Individual
ANDREA C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 287-3045
(859) 578-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004353A
IN
363A00000X
Physician Assistant
55001096
OH
363A00000X
Physician Assistant
Primary
PA900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077725
—
OH
05
—
95006151
—
KY
Enumeration date
12/30/2005
Last updated
12/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us