Individual
DR. KEITH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S MCCRARY ST, WOODBURY, TN 37190-1439
(615) 563-2891
(615) 563-4582
Mailing address
205 S MCCRARY ST, WOODBURY, TN 37190-1439
(615) 563-2891
(615) 563-4582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10066741
AMERIGROUP/TENNCARE
—
05
—
3865024
—
TN
01
—
4019970
BLUE CROSS BLUE SHIELD TN
TN
01
—
TN0101
AMERICHOICE
—
Enumeration date
06/02/2006
Last updated
12/10/2009
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