Individual
KRISTINE L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 SE CABOT DR, SUITE B101, OAK HARBOR, WA 98277-3715
(360) 675-6648
(360) 679-2487
Mailing address
275 SE CABOT DR, SUITE B101, OAK HARBOR, WA 98277-3715
(360) 675-6648
(360) 679-2487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004268
VA
363AM0700X
Medical Physician Assistant
Primary
PA10005064
WA
Other
Enumeration date
10/25/2005
Last updated
04/09/2014
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