Individual
MRS. JUDY A. GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1910 S VIRGINIA ST, STE 108, HOPKINSVILLE, KY 42240-6008
(270) 885-9110
(270) 885-9110
Mailing address
1910 S VIRGINIA ST, STE 108, HOPKINSVILLE, KY 42240-6008
(270) 885-9110
(270) 885-9110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050162
ANTHEM PROVIDER NUMBER
KY
05
—
87015673
—
KY
Enumeration date
06/15/2005
Last updated
07/09/2007
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