Individual
KENNETH WILTON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 S LUDLOW ST, DAYTON, OH 45402-2610
(937) 208-6755
Mailing address
725 S LUDLOW ST, DAYTON, OH 45402-2610
(937) 208-6755
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
35.071118
OH
Other
Enumeration date
10/02/2006
Last updated
07/12/2007
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