Young, Stephen Kyle
Young, Stephen Kyle is an individual health care provider with primary practice located at 120 Executive Park , Louisville KY 40207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Young, Stephen Kyle can be contacted via phone (502) 855-7200.Contact Information
Primary practice address
120 Executive Park
Louisville KY 40207
Phone: (502) 855-7200
Fax: (502) 855-7201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01068095A | Indiana |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 43136 | Kentucky |
Profile Details
NPI number | 1679615686 |
---|---|
LBN Legal business name | Young, Stephen Kyle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2007 |
Last updated | Feb 13th, 2024 - about 7 months 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 | 1679615686 | NPPES |
Other | 9806467 | AETNA PIN | |
Other | 000000834292 | AETNA PIN | |
Other | CS1429300150 | AETNA PIN | |
MEDICAID | 200959940 | AETNA PIN | |
MEDICAID | 7100080590 | AETNA PIN |
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