Individual
KODY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3595 COLUMBUS RD, CENTERBURG, OH 43011-7088
(740) 625-6234
Mailing address
3595 COLUMBUS RD, CENTERBURG, OH 43011-7088
(740) 625-6234
(740) 625-5806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.0030515
OH
Other
Enumeration date
01/11/2022
Last updated
03/15/2023
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