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Contact Information

DAVID T GREEN, MA, LAT, ATC
521 LANCASTER AVE. MOBERLY 203
EASTERN KENTUCKY UNIVERSITY
RICHMOND, KY40475
 Phone: 859-622-2140
 Fax: 859-622-8857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID T GREEN · (Male)

NPI Number 1346213071
Status Active
Credentials MA, LAT, ATC
Entity Individual
Enumeration date 02/13/2006
Last updated 08/08/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # AT024
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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