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Individual
RICHARD YOUNG
Active
Individual
RICHARD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
230
KY
213ES0131X
Foot Surgery Podiatrist
230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480029186
RAILROAD MEDICARE
KY
05
—
80002306
—
KY
01
—
90004391
MEDICAID DME
KY
Enumeration date
05/27/2005
Last updated
11/11/2008
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