Individual
JOSEPH WATTS GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 SPRINGHURST BLVD STE 310, LOUISVILLE, KY 40241-6162
(502) 447-5633
(833) 974-2507
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45850
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
45850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000834300
ANTHEM - NOS
KY
01
—
151611
SIHO - NOS
KY
05
—
201201590
—
IN
01
—
50052927
PASPORT - NOS
KY
05
—
7100131720
—
KY
Enumeration date
03/26/2007
Last updated
01/27/2021
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