Young, Kim Kory

Young, Kim Kory is an individual health care provider with primary practice located at 116 N Johnson St , Pontiac MI 48341-1330. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Young, Kim Kory can be contacted via phone (248) 613-4098.

Contact Information

Primary practice address
116 N Johnson St Pontiac MI 48341-1330
Phone: (248) 613-4098
Fax: (248) 622-4081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1-04781 Michigan
Other Service Providers / Peer Specialist 175T00000X Michigan
Other Service Providers / Peer Specialist 175T00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X L148347 Michigan

Profile Details

NPI number 1083160790
LBN Legal business name Young, Kim Kory
Credentials M.HTECHICIAN/L.L.MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Apr 10th, 2020 - 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 1083160790 NPPES
Michigan Other L148347 DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES

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