Green, Kirk Dennis

Green, Kirk Dennis is an sole proprietor health care provider with primary practice located at 400 N 17Th St , Keokuk IA 52632-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Green, Kirk Dennis can be contacted via phone (319) 524-5734.

Contact Information

Primary practice address
400 N 17Th St Keokuk IA 52632-3452
Phone: (319) 524-5734
Fax: (319) 524-5758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01737 Iowa

Profile Details

NPI number 1982607487
LBN Legal business name Green, Kirk Dennis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jun 24th, 2010 - about 15 years 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 1982607487 NPPES
Iowa MEDICAID 2308999
Iowa Other 54388

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