KATHRYN GREEN PA NPI 1639833569

NPI Information

NPI: 1639833569
Provider Name: KATHRYN GREEN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 429-0607
Get Directions

Kathryn Green, PA is a medical physician assistant in Beavercreek, OH. Kathryn Green, PA NPI is 1639833569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2510 COMMONS BLVD STE 210
BEAVERCREEK, OH
ZIP 45431-821
Phone: (937) 429-0607
Fax: (937) 702-9041

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	50.007245RX	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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