Search › Florida › 332B00000X
Kenneth Green
NPI 1699310466 · on the registry since 2019 · sole proprietor
Practice
- Address
- 7939 W Gulf To Lake Hwy
Crystal River, FL 34429 - Phone
- (352) 257-7874
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida