Kevin Michael Young, DNP | |
541 Shady Pine Way Apt C, Greenacres, FL 33415-8904 | |
(607) 221-1934 | |
Not Available |
Full Name | Kevin Michael Young |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 541 Shady Pine Way Apt C, Greenacres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376249029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11013675 (Florida) | Primary |
Entity Name | Orthopedic Center Of Palm Beach County, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114079738 PECOS PAC ID: 7315922309 Enrollment ID: O20040623000552 |
Entity Name | Tampa General Provider Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538742317 PECOS PAC ID: 6002217346 Enrollment ID: O20210624001725 |
Mailing Address | Practice Location Address |
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Kevin Michael Young, DNP 541 Shady Pine Way Apt C, Greenacres, FL 33415-8904 Ph: () - | Kevin Michael Young, DNP 541 Shady Pine Way Apt C, Greenacres, FL 33415-8904 Ph: (607) 221-1934 |
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