Individual
KATHLEEN ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH ( MD EQUIVALE
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4173
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4173
—
AK
Enumeration date
02/03/2006
Last updated
05/06/2019
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