Individual
MS. KIMBERLY ANN YOUNG-CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
49 FALLON AVE., NEMOURS PEDIATRICS SEAFORD, SEAFORD, DE 19973-1577
(302) 629-5030
(302) 629-5035
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LJ0000152
DE
363LP0200X
Pediatric Nurse Practitioner
LJ0000152
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7373015
—
MD
05
—
8685100
—
NJ
Enumeration date
09/28/2006
Last updated
09/16/2011
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