Individual
AMY JENNIFER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502-3536
(859) 268-0061
(859) 266-1152
Mailing address
162 OLD POST RD, PARIS, KY 40361-2713
(859) 987-0632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY34917
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64349178
—
KY
Enumeration date
05/21/2007
Last updated
05/30/2008
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