Individual
JEFFREY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
313 HUMMINGBIRD LN, LEXINGTON, KY 40503-1111
(859) 317-1263
Mailing address
730 BISHOP DR, LEXINGTON, KY 40505-1610
(859) 317-1263
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1176610
KY
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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