Individual
MRS. SUZANNE KELLY YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
U.S. HWY 25 SOUTH, U.S. HWY 25 SOUTH, LILY, KY 40740
(606) 523-1660
(606) 523-1665
Mailing address
U.S. HWY 25 SOUTH, PO BOX 750, LILY, KY 40740
(606) 523-1660
(606) 523-1665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000516118
BCBS-EBMC
KY
01
—
000000516142
BCBS-LCMC
KY
01
—
000000516186
BCBS-AMC
KY
01
—
000000517349
BCBS-BSMC
KY
Enumeration date
08/31/2006
Last updated
11/29/2007
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