Individual provider · Type 1 NPI

Kelly D. Green, MD

Cardiovascular Disease Physician · Jackson, TN

NPI number 1790909489 Active

Practice location

145 Innovation Dr
Jackson, TN 38305-3019

Call (731) 422-0213 Map

Fax (731) 422-0409

Mailing address

PO Box 400
Jackson, TN 38302-0400

Other practice locations

  • 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 · (731) 422-0347

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X45891 (TN)
Internal Medicine Physician 207R00000X45891 (TN)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

60 other providers at this address

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About NPI 1790909489

Kelly D. Green, MD's National Provider Identifier is 1790909489, issued on Apr 12, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Jackson, TN. The record was last updated on Oct 25, 2023.