Individual
KEVIN IAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 BOULDER POINT DR, PLYMOUTH, NH 03264-3168
(603) 536-1881
(603) 238-2198
Mailing address
103 BOULDER POINT DR, PLYMOUTH, NH 03264-3168
(603) 536-1881
(603) 238-2198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6405
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108074YPNH01
ANTHEM
NH
05
—
82080156
—
NH
Enumeration date
09/05/2006
Last updated
04/03/2018
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