Todd Stuart Greene PA-C

NPI 1063765865 - Physician Assistant - 363A00000X

NPI Details
NPI 1063765865
Gender Male
Enumeration Date 10/18/2012
Last Updated 10/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1792 ALYSHEBA WAY
SUITE 150
LEXINGTON KY, 40509-2288, US
Phone (859) 335-9041
Fax (859) 422-6917
Business Location
1792 ALYSHEBA WAY
SUITE 150
LEXINGTON KY, 40509-2288, US
Phone (859) 335-9041
Fax (859) 422-6917
Toxanomy
Taxonomy Code 363A00000X
License State Kentucky
License Number PA102
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According to our database, Mr. Todd Stuart Greene PA-C NPI is 1063765865, taxonomy code is 363A00000X and license number is PA102, license state is located at Kentucky. Todd Stuart Greene PA-C physically located at 1792 Alysheba Way, Lexington KY, 40509-2288. NPI Number Todd Stuart Greene PA-C has the Individual type.

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1063765865 NPI number is provided on an as is basis without warranty of any kind. 1063765865 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Stuart Greene PA-C are for informational purposes only.