Individual
TAMMY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 VETERANS MEMORIAL PKWY, CRESTWOOD, KY 40014-8694
(502) 243-9767
Mailing address
6501 VETERANS MEMORIAL PKWY, CRESTWOOD, KY 40014-8694
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111859
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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