Green, Keith

Green, Keith is an individual health care provider with primary practice located at 2500 Canterbury Dr Ste 206 , Hays KS 67601-2281. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Green, Keith can be contacted via phone (785) 623-5940.

Contact Information

Primary practice address
2500 Canterbury Dr Ste 206 Hays KS 67601-2281
Phone: (785) 623-5940
Fax: (785) 623-5680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 04-24431 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 04-24431 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-24431 Kansas

Profile Details

NPI number 1376587311
LBN Legal business name Green, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 24th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376587311 NPPES
Kansas MEDICAID 100143840B

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