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Dr. Mark Allen Green, DC
Chiropractor in Louisville, Kentucky
NPI 1609968544

Mark Allen Green is a Chiropractor based in Louisville, KY. Mark Allen Green practices in Louisville, KY and has the professional credentials of DC. The NPI Number for Mark Allen Green is 1609968544 and holds a License No. 3776 (Kentucky).

The current practice location address for Mark Allen Green is 2137 Dixie Hwy, Louisville, KY and can be reached out via phone at 502-561-0490 and via fax at 502-409-4964.

Location: 2137 Dixie Hwy, Louisville, KY, 40241-2730
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Provider Profile Details
NPI Number
1609968544
Provider Name
Mark Allen Green
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2137 Dixie Hwy, Louisville, KY, 40241-2730
Phone Number
502-561-0490
Fax Number
502-409-4964
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000051525 01 KY ANTHEM #
50008078 01 KY PASSPORT PROVIDER #
85001758 05 KY
2623859000 01 KY PASSPORT ADVANTAGE ID#
institution
Provider Business Practice Location Address Details
Address
2137 Dixie Hwy
City
State
Zip
40210-2242
Phone Number
502-561-0490
Fax Number
502-409-4964
person
Provider Business Mailing Address Details
Address
2137 Dixie Hwy
City
State
Zip
40210-2242
Phone Number
502-561-0490
Fax Number
502-409-4964
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3776 (Kentucky)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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