Individual
DR. KEVIN ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1259 W 20TH AVE, OSHKOSH, WI 54902-6650
(920) 651-3600
(920) 265-1360
Mailing address
1259 W 20TH AVE, OSHKOSH, WI 54902-6650
(920) 651-3600
(920) 651-3605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
207Q00000X
Family Medicine Physician
33989
WI
Other
Enumeration date
08/20/2006
Last updated
03/07/2023
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