DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH R. GREEN, M.D.

Active

MR. KENNETH R. GREEN, M.D. is a Nephrology healthcare provider located in SYRACUSE, New York. NPI 1114909512 is currently active in the NPPES registry. Verify at CMS.

Nephrology · SYRACUSE, NY

Registration Details

NPI Number
1114909512
Provider Type
Individual
Gender
Male
NPI Issued
Nov 19, 2005 (20.729860583278 yrs)
Last Updated
Feb 14, 2008
License
130245 (NY)

Practice Information

Address
1304 BUCKLEY RD
SYRACUSE, NY, 132124302
Browse NY providers · Browse ZIP 13212
Phone
3154783311
Fax
3154260796
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in SYRACUSE, NY

Name Credential NPI
DR. RICHARD T KOPECKY M.D. 1134101066
DR. SCOTT C REINHART M.D. 1851373781
DR. PHILIP T ONDOCIN M.D. 1902888506
ROSE A GIAMMARCO MD 1386689693
SYLVIA L BETCHER MD 1194752733
STEPHEN J KNOHL MD 1144258567
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.