Kenneth Wilton Greene, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

35.071118 Issued in OH

Practice address

725 S Ludlow St
Dayton, OH 45402-2610

Phone

(937) 208-6755

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1508959321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022610",
            "telephone_number": "937-208-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022610",
            "telephone_number": "937-208-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KENNETH",
        "middle_name": "WILTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OH",
            "license": "35.071118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri A Greene-Peyton, LPCC
• Cherylyn G Greene, BSSW, LSW
• Courtney Greene, MSW, LSW
• Erin Andrea Greene, CNS-BC
• Jessica Nichole Greene, D.O.
• Maria Theresa Greene, RN202371
• Mary K Greene, MD
• Sheldon Greene, PEER SPECIALIST
• Tieranny Greene
• Wesley Greene, MD

• Preventive Medicine/Occupational Environmental Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.