Kenneth Leroy Green Jr.
Kenneth Leroy Green Jr. is a Durable Medical Equipment & Medical Supplies in Crystal River, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
7939 W Gulf To Lake HwyCrystal River, FL 34429-7931
Phone: (352) 257-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (FL) |
|---|
Record details
| NPI number | 1699310466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2019 |
| Last updated in NPPES | November 15, 2019 |
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