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

Kevin Green

Individual provider Family Nurse Practitioner · NPI 1508638073

Kevin Green is a Nurse Practitioner in Troy, Michigan. Qualified in 2023, 3 years ago. Practices with Park Family Health Care PC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

671 E Big Beaver Rd Ste 111
Troy, MI 48083-1421
Phone: (248) 244-8545
Fax: (248) 244-8582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704366840 (MI)

Record details

NPI number1508638073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2023
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address671 E Big Beaver Rd Ste 111, Troy, MI 48083-1421

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Park Family Health Care Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Troy