Young, Keith P
Young, Keith P is an individual health care provider with primary practice located at 400 N State Of Franklin Rd Rm 2746 , Johnson City TN 37604-6035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Young, Keith P can be contacted via phone (423) 431-2727.Contact Information
Primary practice address
400 N State Of Franklin Rd Rm 2746
Johnson City TN 37604-6035
Phone: (423) 431-2727
Fax: (423) 431-6715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15563 | Tennessee |
Profile Details
NPI number | 1417939414 |
---|---|
LBN Legal business name | Young, Keith P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Jul 21st, 2022 - about 2 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 | 1417939414 | NPPES |
Other | 1477599223 | GROUP NPI | |
MEDICAID | 529912020 | GROUP NPI | |
Other | 51510627 | GROUP NPI |
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