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Individual

DR. STEVEN D GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 DANVILLE ST, LANCASTER, KY 40444-1150
(859) 792-2124
(859) 792-4759
Mailing address
405 DANVILLE ST, LANCASTER, KY 40444-1150
(859) 792-2124
(859) 792-4759

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22106
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047424
ANTHEM
KY
01
080025172
MEDICARE RAILROAD
KY
01
0841011
UNITED HEALTH CARE
KY
01
163403900
US DEPARTMENT OF LABOR
KY
01
234603
FEDERAL BLACK LUNG
KY
01
4584127
AETNA
KY
05
64221062
KY
Enumeration date
01/12/2006
Last updated
05/07/2008
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