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Kai Marcus Greene, DO
Military Health Care Provider in Camp Lejeune, North Carolina
NPI 1679047195

Kai Marcus Greene is a Military Health Care Provider based in Pensacola, NC. Kai Marcus Greene practices in Camp Lejeune, NC and has the professional credentials of DO. The NPI Number for Kai Marcus Greene is 1679047195 and holds a License No. 17145 (North Carolina).

The current practice location address for Kai Marcus Greene is 212 Wallace Creek Rd, Camp Lejeune, NC and can be reached out via phone at 910-449-8878.

Location: 212 Wallace Creek Rd, Camp Lejeune, NC, 32508-5136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679047195
Provider Name
Kai Marcus Greene
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
212 Wallace Creek Rd, Camp Lejeune, NC, 32508-5136
Phone Number
910-449-8878
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Wallace Creek Rd
City
Camp Lejeune
State
North Carolina
Zip
28547
Phone Number
910-449-8878
Fax Number
person
Provider Business Mailing Address Details
Address
212 Wallace Creek Rd
City
Camp Lejeune
State
North Carolina
Zip
28547
Phone Number
910-449-8878
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
17145 (Florida)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
17145 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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