Individual
KENNETH MYRON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST STE 4104, BALTIMORE, MD 21204-6808
(410) 821-2800
(410) 821-2804
Mailing address
3407 GARRISON FARMS RD, BALTIMORE, MD 21208-1852
(410) 653-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0037016
MD
Other
Enumeration date
08/19/2006
Last updated
07/21/2022
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