Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CARL LEE GREEN P.A.
NPI 1619935335
Physician Assistant in Kingman, KS

Active since May 02, 2006
750 W D AVE, KINGMAN, KS 67068(620) 532-3147 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carl Lee Green P.a. NPPES

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

MR. CARL LEE GREEN P.A. (NPI 1619935335) is an individual physician assistant in Kingman, Kansas, licensed in Kansas (1500576) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619935335
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARL LEE GREENCredential: P.A.
Location Address750 W D AVEKingman, KS 67068-1266
Mailing Address1015 N Firefly CirWichita, KS 67235-9437 · (316) 721-5284
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1619935335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KS · 1500576
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
750 W D AVE, Kingman, KS 67068

Other Identifiers 1

Other042639KS · Blue Cross/blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
750 W D AVE
KINGMAN, KS 67068
Audiologist
750 W D AVE
KINGMAN, KS 67068
Nurse Practitioner (Family)
750 W D AVE
KINGMAN, KS 67068
Physician Assistant
750 W D AVE
KINGMAN, KS 67068
Family Medicine
750 W D AVE
KINGMAN, KS 67068
Nurse Practitioner (Family)
750 W D AVE
KINGMAN, KS 67068
Family Medicine
750 W D AVE
KINGMAN, KS 67068
Podiatrist
750 W D AVE
KINGMAN, KS 67068

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 Carl Green's NPI number?

The NPI number for Carl Green is 1619935335. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Carl Green located?

Carl Green practices at 750 W D Ave, Kingman, KS 67068. The listed phone number is (620) 532-3147.

What is Carl Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carl Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.