Young, Kathleen Elizabeth

Young, Kathleen Elizabeth is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Young, Kathleen Elizabeth can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Fax: (907) 352-3373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4173 Alaska

Profile Details

NPI number 1326010232
LBN Legal business name Young, Kathleen Elizabeth
Credentials MB BCH ( MD EQUIVALE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326010232 NPPES
Alaska MEDICAID MD4173

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