Young, Kelly Elizabeth

Young, Kelly Elizabeth is an individual health care provider with primary practice located at 2005 Saint Charles St Ste 5 , Jasper IN 47546-9146. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Young, Kelly Elizabeth can be contacted via phone (812) 482-4321.

Contact Information

Primary practice address
2005 Saint Charles St Ste 5 Jasper IN 47546-9146
Phone: (812) 482-4321
Fax: (812) 634-6809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12011027A Indiana

Profile Details

NPI number 1851598833
LBN Legal business name Young, Kelly Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1851598833 NPPES
Indiana Other 12011027A LICENSE NUMBER

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