Individual
DR. RHONDA JEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 W RADIO LN, ARKANSAS CITY, KS 67005-4011
(580) 762-9355
(580) 762-3547
Mailing address
510 W RADIO LN, ARKANSAS CITY, KS 67005-4011
(620) 442-2100
(620) 442-8945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29171
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080175482
RAILROAD MEDICARE
KS
05
—
100400730A
—
KS
01
—
415880
FIRSTGUARD
KS
01
—
9843
PPK
KS
Enumeration date
09/25/2006
Last updated
05/22/2025
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