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KIRBY ARNESTO GREEN MD
NPI 1619909744
Emergency Medicine in Salt Lake City, UT

Active since July 07, 2006
2290 SOUTH 1300 EAST, MEDICAL MARTS, SALT LAKE CITY, UT 84106(801) 474-0800(810) 467-1126 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirby Arnesto Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRBY ARNESTO GREEN MD (NPI 1619909744) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Louisiana (014738) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619909744
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKIRBY ARNESTO GREENCredential: MD
Location Address2290 SOUTH 1300 EAST, MEDICAL MARTSSalt Lake City, UT 84106-2831
Mailing Address2290 S 1300 ESalt Lake City, UT 84106-2831 · (801) 474-0800 · Fax (801) 467-1126
Phone(801) 474-0800
Fax(810) 467-1126
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 7, 2007
✔ NPI 1619909744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 014738
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 6053966-1205 (UT)
2290 SOUTH 1300 EAST, Salt Lake City, UT 84106
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Other Identifiers 4

Medicare UPINB63876
Medicaid200785958001UT
Medicare ID-Type Unspecified4E106LA
Medicaid1194841LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirby Green's NPI number?

The NPI number for Kirby Green is 1619909744. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kirby Green located?

Kirby Green practices at 2290 South 1300 East Medical Marts, Salt Lake City, UT 84106. The listed phone number is (801) 474-0800.

What is Kirby Green's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Kirby Green was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.