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Charles R Green, MD
Family Medicine Physician in Andover, Kansas
NPI 1568499267

Charles R Green is a Family Medicine Physician based in Wichita, KS. Charles R Green practices in Andover, KS and has the professional credentials of MD. The NPI Number for Charles R Green is 1568499267 and holds a License No. 30255 (Kansas).

The current practice location address for Charles R Green is 612 N Andover Rd, Andover, KS and can be reached out via phone at 316-733-6618 and via fax at 316-733-5299.

Location: 612 N Andover Rd, Andover, KS, 67208-0035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568499267
Provider Name
Charles R Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
612 N Andover Rd, Andover, KS, 67208-0035
Phone Number
316-733-6618
Fax Number
316-733-5299
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103199 01 MEDICARE
100641000A 05 KS
institution
Provider Business Practice Location Address Details
Address
612 N Andover Rd
City
Andover
State
Kansas
Zip
67002-9778
Phone Number
316-733-6618
Fax Number
316-733-5299
person
Provider Business Mailing Address Details
Address
612 N Andover Rd
City
Andover
State
Kansas
Zip
67002-9778
Phone Number
316-733-6618
Fax Number
316-733-5299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
30255 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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