Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN JOSEPH GREEN, P.A
ActiveMR. KEVIN JOSEPH GREEN, P.A is a Physician Assistant healthcare provider located in JOHNSTOWN, Pennsylvania. NPI 1053521302 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JOHNSTOWN, PA
Registration Details
- NPI Number
- 1053521302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.230695075636 yrs)
- Last Updated
- Apr 25, 2014
- License
-
MA002387-L (PA)
Practice Information
- Address
-
1450 SCALP AVESUITE 106JOHNSTOWN, PA, 159043374Browse PA providers · Browse ZIP 15904
- Phone
- 8142668466
- Fax
- 8142660177
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JOHNSTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| CAMILLE A MILLER | PA-C, MPAS | 1346220944 |
| MRS. MELISSA JAY LEONARDIS | PA | 1396716601 |
| JOHN CARL ONDERKO | PAC | 1548231863 |
| JENNIFER M FETTERMAN | PA-C | 1811960552 |
| CATHERINE A VESCOVI | PA-C | 1669446183 |
| JAMES J GIDES | PA-C | 1063487940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.