Individual
DR. KEVIN YOUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8423 HOLLY RD STE A, GRAND BLANC, MI 48439-1812
(810) 579-0466
(810) 579-0470
Mailing address
8423 HOLLY RD STE A, GRAND BLANC, MI 48439-1812
(810) 579-0466
(810) 579-0470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4626732
—
MI
Enumeration date
08/24/2006
Last updated
02/12/2008
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