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Kenneth Green, M.D.
NPI 1114909512 · Nephrology Physician · Syracuse, NY
Kenneth Green, M.D. is a Nephrology Physician provider in Syracuse, NY (NPI 1114909512).
Provider details
- NPI number
- 1114909512
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 130245 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1304 Buckley Rd
Syracuse, NY 13212-4302
Phone: (315) 478-3311
Fax: (315) 426-0796
Street-level locationGet directions
Mailing address
1304 Buckley Road
Syracuse, NY 13212
Registry dates
- Enumerated
- 2005-11-19
- Last updated
- 2008-02-14
Frequently asked questions
- What is Kenneth Green's NPI number?
- Kenneth Green's National Provider Identifier (NPI) is 1114909512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Green's specialty?
- Kenneth Green is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Green located?
- Kenneth Green's practice location on file with NPPES is 1304 Buckley Rd, Syracuse, NY 13212-4302.
- What is Kenneth Green's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Green is (315) 478-3311.
- Is Kenneth Green's NPI active?
- Yes — Kenneth Green's NPI (1114909512) is active in the NPPES registry as of the last update on 2008-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.