Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly J Green, DO

Individual provider General Practice Physician · NPI 1720174873

Dr. Kimberly J Green, DO is a General Practice in Alpharetta, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2000, 26 years ago. Licensed in Georgia and Indiana.

Years since qualifying
26
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1090 Cambridge Sq Ste A
Alpharetta, GA 30009-1875
Phone: (770) 754-9880
Fax: (770) 754-9881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 58478 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 2002456A (IN)

Record details

NPI number1720174873
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 26, 2013
Mailing address1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE, PAIN MANAGEMENT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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