Individual
DR. MARY KATHERINE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-3120
(859) 323-6700
(859) 257-1331
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 582-9323
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
66432
WI
207RR0500X
Rheumatology Physician
ME63721
FL
207RR0500X
Rheumatology Physician
Primary
TP312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000649
CAREPLUS
FL
01
—
23324
BCBS
FL
05
—
373864700
—
FL
01
—
4355089
AETNA
FL
Enumeration date
08/09/2007
Last updated
08/05/2024
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