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Contact Information

KEVIN R GREEN, MD
1259 W 20TH AVE
OSHKOSH, WI54902-6650
 Phone: 920-651-3600
 Fax: 920-265-1360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN R GREEN · (Male)

NPI Number 1801901897
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 33989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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