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Individual

DR. KIM SAMUEL YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6349 US HWY 550, CUBA, NM 87013-0638
(575) 289-3291
(505) 722-7470
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(059) 825-5655
(505) 992-4990

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4023
OK
207Q00000X
Family Medicine Physician
A-1267-04
NM
207Q00000X
Family Medicine Physician
Primary
DR.0031167
CO

Other

Enumeration date
09/04/2009
Last updated
07/26/2023
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