KAI MARCUS GREENE


Address: 760 East Ave, Pensacola, FL 32508-5136
Phone: 8504528970

KAI MARCUS GREENE (NPI# 1679047195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679047195
Entity Type Individual
Full Name KAI MARCUS GREENE
Credential DO
Practice Address 760 East Ave
Pensacola
FL 32508-5136
Mailing Address 512 Long Lake Dr
Pensacola
FL 32506-7643
Practice Telephone 8504528970
Mailing Telephone 8506862259
Enumeration Date 2019-01-17
Last Update Date 2020-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 17145 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
620 John Paul Jones Cir, Portsmouth, VA 237082111 7579532277

Other Providers KAI GREENE

NPI Name Taxonomy Address Enumeration
1295024701 Kai Jason Greene Speech-Language Pathologist 2504 A Whitis, Cma 2.200, 2504 A Whitis, Cma 2.200, Austin, TX 78712 2011-04-05

Office Location

Street Address 760 EAST AVE
City PENSACOLA
State FL
Zip Code 32508-5136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346220399 Kirsten Ann Wisniakowski Dentist 760 East Ave, Bldg 3911, Pensacola, FL 32508-5136 2006-01-18
1225524580 Andrew Kalman Dentist 760 East Ave, Pensacola, FL 32508-5136 2018-07-10
1306273495 Elias Daniel Gonzalez Dentist 760 East Ave, Pensacola, FL 32508-5136 2013-10-03
1831530013 Bridgette Marie Seales Physician Assistant 760 East Ave, Pensacola, FL 32508-5136 2013-07-16
1457582579 Rachel Lynn Wilson Contractor 760 East Ave, Pensacola, FL 32508-5136 2009-08-06
1376733527 Branch Medical Clinic Nattc Clinic/Center 760 East Ave, Pensacola, FL 32508-5140 2007-07-25
1093934440 Michael Leonard Connor Psychologist 760 East Ave, Bldg 3911, Pensacola, FL 32508-5136 2007-04-24
1912004763 Naval Hospital Pensacola Military/U.S. Coast Guard Pharmacy 760 East Ave, Bldg 3911 Ste A, Pensacola, FL 32508-5136 2006-09-20
1588777106 Wang S Ohm Dentist 760 East Ave, Pensacola, FL 32508-5136 2006-08-17
1962439117 Richard Larry Culp Jr. Family Medicine 760 East Ave, Bldg 3911, Pensacola, FL 32508-5136 2006-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851598510 Matthew Henry Hoefer Preventive Medicine Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 2007-06-27
1891917035 Lillie Olivia Johnson Social Worker Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 2007-05-03
1033272372 Andrew P Doan Ophthalmology Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 2006-12-18
1689601361 Bruce Allan Waterman Emergency Medicine Nmotc, 220 Hovey Rd, Pensacola, FL 32508 2006-06-27
1346203601 Richard Alan Beane Preventive Medicine 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 2006-04-08
1629040837 Juan C. Dapena Family Medicine 220 Hovey Rd Bldg 488, Pensacola, FL 32508 2006-02-02
1417935586 Kimberly Kay Gullickson Audiologist 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 2006-01-09
1164419578 Michael Matthew Jacobs Family Medicine 340 Hulse Road, Naval Aerospace Medical Institute (nami), Pensacola, FL 32508 2005-09-30
1679917033 Lawrence Coronel Jimenez Military Health Care Provider 760 East Ave Bldg 3911, Pensacola, FL 32508 2013-04-28
1215276191 Hoyt Harris Reynolds General Practice 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 2013-02-12
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851939813 Cher Lakeesha Nix General Practice 1820 W De Soto St, Pensacola, FL 32501-6432 2019-12-20
1386012896 Anil Kumar Raj General Practice 40 S Alcaniz St, Pensacola, FL 32502-6008 2015-09-14
1609267475 Stephen C. Lott, Psy.d. LLC General Practice 105 E Gregory Sq, Suite G, Pensacola, FL 32502-4971 2015-02-13
1871831958 Peter Christian Delevett General Practice 131 W Intendencia St, Pensacola, FL 32502-5708 2013-01-23
1518282417 Timothy Duane Brooks General Practice 4806 Rosemont Pl, Pensacola, FL 32514-7909 2010-04-02
1104063023 Widalys Santiago Miranda General Practice 140 W Government St, Pensacola, FL 32502-5703 2009-01-14
1699956730 Tim J Gallagher General Practice 382 Gulfview Ln, Pensacola, FL 32507-7840 2007-11-16
1750437497 Minh Cong Pham General Practice 2812 W Cervantes St, Pensacola, FL 32505-7159 2007-01-26
1336218023 Kenric Turingan Aban General Practice 2325 Aegean Ter, Pensacola, FL 32503-5854 2006-11-07
1396838090 Lieng Kim Du General Practice 907 North U Street, Pensacola, FL 32505 2006-10-02
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Competitor

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City PENSACOLA
Zip Code 32508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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