Individual
KEVIN MICHAEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
541 SHADY PINE WAY APT C, GREENACRES, FL 33415-8904
(607) 221-1934
Mailing address
541 SHADY PINE WAY APT C, GREENACRES, FL 33415-8904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013675
FL
Other
Enumeration date
02/03/2023
Last updated
04/11/2023
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