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

Mr. Kenneth R. Green, MD

Individual provider Nephrology Physician · NPI 1114909512

Mr. Kenneth R. Green, MD is a Nephrology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1304 Buckley Rd
Syracuse, NY 13212-4302
Phone: (315) 478-3311
Fax: (315) 426-0796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 130245 (NY)

Record details

NPI number1114909512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 19, 2005
Last updated in NPPESFebruary 14, 2008

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