Individual
DR. KEVAN S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 W HULL DR, DELAWARE, OH 43015-3703
(740) 363-3871
(740) 369-6616
Mailing address
133 W HULL DR, DELAWARE, OH 43015-3703
(740) 363-3871
(740) 369-6616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
026191
OH
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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