Individual
EMILY KIRSTEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
613 23RD ST STE 140, ASHLAND, KY 41101-2876
(606) 326-1675
(606) 326-1436
Mailing address
3575 BOY SCOUT RD, ASHLAND, KY 41102-6680
(606) 923-7347
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.005563RX
OH
363AM0700X
Medical Physician Assistant
Primary
PA2089
KY
363AM0700X
Medical Physician Assistant
TC477
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165368
—
OH
Enumeration date
04/18/2016
Last updated
05/01/2025
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