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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124720206

Stephanie Renee Green, MD is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 S Jackson St
Louisville, KY 40202-1622
Phone: (502) 852-1895
Fax: (502) 852-8915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124720206
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

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