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
Phone: (907) 376-2411
Fax: (907) 352-3373
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326010232 | NPPES |
Alaska | MEDICAID | MD4173 |
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