Individual
MR. BRADLEY KEVIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
784 S CLEARWATER LOOP, POST FALLS, ID 83854-9599
(208) 495-6400
(800) 396-5232
Mailing address
283 N 400 W, BLACKFOOT, ID 83221-5471
(208) 380-0763
(800) 396-5232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11388965-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
6171448
ID
Other
Enumeration date
06/29/2023
Last updated
08/04/2026
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