Doctor Name: | DR. DONALD WAYNE GREEN |
NPI Number: | 1144667924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | NS-KY-1398 |
Business Practice Address: | 805 S Dixie Hwy Munfordville, KY - 427659203 |
Business Phone Number: | 2705240301 |
Business Fax Number: | 2705241145 |
Mailing Address: | 805 S Dixie Hwy, MUNFORDVILLE |
State: | KY |
Postal Code: | 427659203 |
Phone Number: | 2705240301 |
Fax Number: | 2705241145 |
NPI Enumeration Date: | 06/03/2013 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | NS-KY-1398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |