Yung, Kenneth Aaron
Yung, Kenneth Aaron is an individual health care provider with primary practice located at 2679 Crane Ridge Dr Suite F, Jackson MS 39216-4997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Yung, Kenneth Aaron can be contacted via phone (601) 362-7476.Contact Information
Primary practice address
2679 Crane Ridge Dr Suite F
Jackson MS 39216-4997
Phone: (601) 362-7476
Fax: (601) 362-7460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18641 | Mississippi |
Profile Details
| NPI number | 1598712994 |
|---|---|
| LBN Legal business name | Yung, Kenneth Aaron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Feb 1st, 2011 - about 13 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 | 1598712994 | NPPES |
| Mississippi | MEDICAID | 03078371 |
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