Individual
KENNETH A. GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # A41, CLEVELAND, OH 44195-0001
(216) 444-2606
(216) 445-6255
Mailing address
9500 EUCLID AVE # A41, CLEVELAND, OH 44195-0001
(216) 444-2606
(216) 445-6255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35049128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703779
—
OH
Enumeration date
10/04/2006
Last updated
08/24/2009
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