Individual
HEATHER C. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 TRIPLETT ST # B, OWENSBORO, KY 42303-3163
(270) 688-4325
(270) 687-4322
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011418
—
IN
05
—
64116429
—
KY
01
—
P00912953
RAILROAD MEDICARE
KY
Enumeration date
06/05/2006
Last updated
03/12/2026
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