Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathy J. Green, MD, MPH

Individual provider Family Medicine Physician · NPI 1053464065

Dr. Kathy J. Green, MD, MPH is a Family Practice in Cottonwood, Arizona. Qualified in 1998, 28 years ago. Practices with County of Yavapai, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
28
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610
Phone: (928) 639-8132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71593 (AZ)

Record details

NPI number1053464065
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJanuary 21, 2007
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPREVENTIVE MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice County Of Yavapai — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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