KEVIN JOSEPH GREEN

JOHNSTOWN, PA
NPI1053521302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA002387-L)
Enumeration Date2007-05-23
Last Update Date2014-04-25
Business Address
Mr. KEVIN JOSEPH GREEN P.A
1450 SCALP AVE SUITE 106
JOHNSTOWN, PA 15904-3374
Phone number: 814-266-8466
Mailing Address
Mr. KEVIN JOSEPH GREEN P.A
105 ALVIN ST
JOHNSTOWN, PA 15904-1833
Phone number: 814-266-1544