Individual
MR. BRADLEY KEVIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2041 FISHER ARCH SUITE 140, VIRGINIA BEACH, VA 23456
(757) 301-6985
Mailing address
8756 S 1700 E, SANDY, UT 84093-1408
(208) 380-0763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11388965-4405
UT
Other
Enumeration date
06/29/2023
Last updated
07/18/2023
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