Individual
KAITLIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4248 HARBOUR BCH BLVD, BRIGANTINE, NJ 08203-1361
(609) 266-0400
Mailing address
103 CRANFORD AVE, STATEN ISLAND, NY 10306-2113
(718) 483-1951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00417300
NJ
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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