KATHRYN GREEN PA
NPI 1639833569
Physician Assistant - Medical in Beavercreek, OH

Active since October 27, 2021
2510 COMMONS BLVD STE 210, BEAVERCREEK, OH 45431(937) 429-0607(937) 702-9041 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Green Pa NPPES

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

KATHRYN GREEN PA (NPI 1639833569) is an individual medical provider in Beavercreek, Ohio, licensed in Ohio (50.007245RX) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1639833569
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN GREENCredential: PA
Location Address2510 COMMONS BLVD STE 210Beavercreek, OH 45431-3821
Mailing Address2510 Commons Blvd Ste 210Beavercreek, OH 45431-3821 · (937) 429-0607 · Fax (937) 702-9041
Fax(937) 702-9041
Sole ProprietorNo
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1639833569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50.007245RX
2510 COMMONS BLVD STE 210, Beavercreek, OH 45431

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Physician Assistant
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Physician Assistant
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Clinical Nurse Specialist (Adult Health)
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Physician Assistant
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Internal Medicine
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Nurse Practitioner (Acute Care)
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Internal Medicine
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431
Nurse Practitioner (Acute Care)
2510 COMMONS BLVD STE 210
BEAVERCREEK, OH 45431

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 Kathryn Green's NPI number?

The NPI number for Kathryn Green is 1639833569. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Kathryn Green located?

Kathryn Green practices at 2510 Commons Blvd Ste 210, Beavercreek, OH 45431. The listed phone number is (937) 429-0607.

What is Kathryn Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Kathryn Green accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Kathryn Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Green was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.