Organization
KATHIET GREENE, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE GREENE M.D. (PHYSICIAN)
(440) 516-3776
Entity
Organization
Contact information
Practice address
30575 EUCLID AVE, WICKLIFFE, OH 44092-1037
(440) 516-3776
(440) 516-3783
Mailing address
30575 EUCLID AVE, WICKLIFFE, OH 44092-1037
(440) 516-3776
(440) 516-3783
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
35062093G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860206
—
OH
Enumeration date
01/14/2007
Last updated
08/22/2020
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