Individual
KATHRYN JEAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13410 MASCOTTE EMPIRE RD, GROVELAND, FL 34736-9330
(352) 429-3050
Mailing address
13410 MASCOTTE EMPIRE RD, GROVELAND, FL 34736-9330
(352) 429-3050
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230587900
—
FL
Enumeration date
08/14/2008
Last updated
08/14/2008
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