Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DOUGLAS GREEN, MD
ActiveKELLY DOUGLAS GREEN, MD is a Neurological Surgery healthcare provider located in SEARCY, Arkansas. NPI 1912050980 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · SEARCY, AR
Registration Details
- NPI Number
- 1912050980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2007 (19.58139236113 yrs)
- Last Updated
- Jan 8, 2021
- Licenses
-
2002010422 (MO)E-9196 (AR)
Practice Information
- Address
-
2900 HAWKINS DRSEARCY, AR, 721434802Browse AR providers · Browse ZIP 72143
- Phone
- 5012782800
- Fax
- 5012783073
- Primary Specialty
-
Neurological Surgery
207T00000X
- Additional Specialty
- Neurological Surgery
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.