Individual provider · Type 1 NPI

Kenneth R. Green, MD

Nephrology Physician · Syracuse, NY

NPI number 1114909512 Active

Practice location

1304 Buckley Rd
Syracuse, NY 13212-4302

Call (315) 478-3311 Map

Fax (315) 426-0796

Mailing address

1304 Buckley Road
Syracuse, NY 13212

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X130245 (NY)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1114909512

Kenneth R. Green, MD's National Provider Identifier is 1114909512, issued on Nov 19, 2005. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Syracuse, NY. The record was last updated on Feb 14, 2008.