Kenneth E Green, MD is a
Surgery physician based in La Grange, Kentucky. Kenneth E Green is licensed to practice in Kentucky (license number 24940) and his current practice location is 1025 New Moody Ln, La Grange, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 222-0598.
NPI number for Kenneth E Green is 1508802950 and his current mailing address is 2700 Stanley Gault Pkwy Ste 129, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508802950.
Physician's Profile
| Full Name | Kenneth E Green |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 1025 New Moody Ln, La Grange, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508802950
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 05/02/2019
Medical Identifiers
Medical identifiers for Kenneth E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508802950 | NPI | - | NPPES |
| 6424940200 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 24940 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth E Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kenneth E Green, MD 2700 Stanley Gault Pkwy Ste 129, Louisville, KY 40223-5176 Ph: (502) 489-6613 | Kenneth E Green, MD 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-0598 |
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