DR. KEVIN M GREEN (NPI# 1922237312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922237312 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M GREEN |
| Credential | DC |
| Practice Address |
500 N Financial Ter Ste G Mustang OK 73064-4437 |
| Practice Telephone | 4053764300 |
| Practice Fax Number | 4053764307 |
| Mailing Telephone | 4053764300 |
| Mailing Fax Number | 4053764307 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2010-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3932 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497227151 | Kevin Lee Green | Physician Assistant | 10221 E 81st St, Tulsa, OK 74133-4559 | 2018-12-19 |
| 1003319161 | Kevin Bernard Green | Non-emergency Medical Transport (VAN) | 10217 Woodland Hills Dr, Cordova, TN 38018-6663 | 2018-03-15 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1801901897 | Kevin Robert Green | Acupuncturist | 1259 W 20th Ave, Oshkosh, WI 54902-6650 | 2006-08-20 |
| 1699770495 | Kevin J Green | Optometrist | 2038 Monument Ave, Richmond, VA 23220-2708 | 2005-06-17 |
| 1649605965 | Kevin M Green | Marriage & Family Therapist | 199 N 290 W, Suite 150, Lindon, UT 84042-1810 | 2013-09-05 |
| 1114165941 | Kevin Anthony Green IIi | Counselor | 2112 Riverdale Street, West Springfield, MA 01089 | 2009-02-02 |
| 1053521302 | Kevin Joseph Green | Physician Assistant | 1450 Scalp Ave, Suite 106, Johnstown, PA 15904-3374 | 2007-05-23 |
| 1831265628 | Kevin P Green | Social Worker | 2021 Grand Concourse Fl 9, Bronx, NY 10453-4304 | 2006-11-26 |
| 1851485411 | Kevin Finnie Green | Urology | 2542 Langhorne Rd, Lynchburg, VA 24501-1602 | 2006-10-03 |
| Street Address |
500 N FINANCIAL TER STE G |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838026 | John R. Ainsworth | Dentist | 500 N Financial Ter, Ste. D, Mustang, OK 73064-4432 | 2005-08-11 |
| 1831757624 | Joshua Crossley | Dentist | 500 N Financial Ter, Mustang, OK 73064-4437 | 2019-06-05 |
| 1487195657 | Nikayla Parton | Case Manager/Care Coordinator | 500 N Financial Ter, Suite G, Mustang, OK 73064-4437 | 2017-03-20 |
| 1548591035 | Green Family Chiropractic, Inc. | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2010-01-22 |
| 1083945570 | Courtney Rae Doyle | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2010-01-22 |
| 1962678615 | John R. Ainsworth D.d.s. | Dentist | 500 N Financial Ter, Mustang, OK 73064-4437 | 2008-05-02 |
| 1912109315 | Marcia Tarter | Dentist | 500 N Financial Ter, Mustang, OK 73064-4437 | 2007-06-05 |
| 1245210020 | Rebecca Lynn Poage | Optometrist | 500 N Financial Ter, Suite A, Mustang, OK 73064-4432 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063759868 | Aaron Michael Cardon | Chiropractor | 1472 N Mustang Rd, Suite 102, Mustang, OK 73064-7214 | 2013-01-14 |
| 1043306913 | Sidney Charles Vaught | Chiropractor | 731 E St Hwy 152, Mustang, OK 73064 | 2006-10-05 |
| 1841223112 | Kaiser Chiropractic, LLC | Chiropractor | 251 S Castlerock Ln, Mustang, OK 73064-4583 | 2006-07-09 |
| 1871959890 | Mustang Chiropractic | Chiropractor | 251 S Castlerock Ln, Mustang, OK 73064-4583 | 2016-01-06 |
| 1972983070 | Eric Michael Crane | Chiropractor | 251 S Castlerock Ln, Mustang, OK 73064-4583 | 2015-06-03 |
| 1528408085 | Action Chiropractic Pllc | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2013-06-28 |
| 1780960773 | Jamey Rochelle Little | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2011-10-23 |
| 1548591035 | Green Family Chiropractic, Inc. | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2010-01-22 |
| 1083945570 | Courtney Rae Doyle | Chiropractor | 500 N Financial Ter, Ste G, Mustang, OK 73064-4437 | 2010-01-22 |
| 1336335801 | Dr. Sid C. Vaught, P.C. | Chiropractor | 731 E State Highway 152, Mustang, OK 73064-4520 | 2007-09-19 |
| Find all providers in MUSTANG | ||||
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| 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.