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Organization
PLYMOUTH FAMILY PRACTICE CENTER
Active
Organization
PLYMOUTH FAMILY PRACTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN I YOUNG M.D. (SOLE PROPRIETOR)
(603) 536-2502
Entity
Organization
Contact information
Practice address
1 WARREN ST, PLYMOUTH, NH 03264-1416
(603) 536-2502
(603) 536-2503
Mailing address
1 WARREN ST, PLYMOUTH, NH 03264-1416
(603) 536-2502
(603) 536-2503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6405
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005343
—
NH
01
—
3444
CIGNA
NH
01
—
PLYMO80156
ANTHEM
NH
Enumeration date
03/25/2007
Last updated
01/09/2008
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