Young, Kisha Rochelle
Young, Kisha Rochelle is an individual health care provider with primary practice located at 4105 Matthews Mint Hill Rd , Mint Hill NC 28105-3633. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Young, Kisha Rochelle can be contacted via phone (704) 384-9920.Contact Information
Primary practice address
4105 Matthews Mint Hill Rd
Mint Hill NC 28105-3633
Phone: (704) 384-9920
Fax: (704) 384-9925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 134137 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200701684 | North Carolina |
Profile Details
| NPI number | 1386772952 |
|---|---|
| LBN Legal business name | Young, Kisha Rochelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Mar 7th, 2023 - 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 | 1386772952 | NPPES |
| North Carolina | MEDICAID | 5912253 | |
| North Carolina | Other | 134137 |
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