Organization
KALLEB A. GREENE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLEB ANDERSON GREENE DMD (OWNER/DENTIST)
(270) 885-6137
Entity
Organization
Contact information
Practice address
318 COOL WATER CT STE A, HOPKINSVILLE, KY 42240-8781
(270) 885-6137
Mailing address
542 NOEL AVE, HOPKINSVILLE, KY 42240-1386
(270) 885-6137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9989
KY
Other
Enumeration date
06/28/2017
Last updated
01/17/2023
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