Individual
MR. KEVIN KENDELL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 WHITE OAK RD, FREDERICKSBURG, VA 22405-2792
(540) 373-2424
Mailing address
PO BOX 2454, ELIZABETHTOWN, NC 28337-2454
(910) 876-1870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006725
VA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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