Individual
MS. KRISTEN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 208, LOUISVILLE, KY 40241-2847
(502) 614-4179
(502) 614-4450
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1168
KY
363AM0700X
Medical Physician Assistant
Primary
PA1168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100085120
—
KY
Enumeration date
10/03/2008
Last updated
02/08/2021
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