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

Mr. Kevin Joseph Green, PA

Individual provider Physician Assistant · NPI 1053521302

Mr. Kevin Joseph Green, PA is a Physician Assistant in Johnstown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1450 Scalp Ave Ste 106
Johnstown, PA 15904-3374
Phone: (814) 266-8466
Fax: (814) 266-0177
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA002387-L (PA)

Record details

NPI number1053521302
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESApril 25, 2014

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