Greenidge, Kevin Cecil

Greenidge, Kevin Cecil is an individual health care provider with primary practice located at 200 Blossom St , Webster TX 77598-4204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Greenidge, Kevin Cecil can be contacted via phone (409) 772-5800.

Contact Information

Primary practice address
200 Blossom St Webster TX 77598-4204
Phone: (409) 772-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME93458 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME93458 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X D88314 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X U1430 Texas

Profile Details

NPI number 1174515118
LBN Legal business name Greenidge, Kevin Cecil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174515118 NPPES
Florida MEDICAID 273351000

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