Green, Kevin Robert

Green, Kevin Robert is an individual health care provider with primary practice located at 1259 W 20Th Ave , Oshkosh WI 54902-6650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is his primary health care specialty. Green, Kevin Robert can be contacted via phone (920) 651-3600.

Contact Information

Primary practice address
1259 W 20Th Ave Oshkosh WI 54902-6650
Phone: (920) 651-3600
Fax: (920) 265-1360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33989 Wisconsin
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1801901897
LBN Legal business name Green, Kevin Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about last year

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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