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Individual

MS. KATHRYN A. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
(601) 815-8189
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
(601) 815-8189

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
21354
MS
2080P0203X
Pediatric Critical Care Medicine Physician
47865
WI
2080P0203X
Pediatric Critical Care Medicine Physician
53766
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34624300
WI
Enumeration date
07/28/2006
Last updated
06/21/2012
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