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Individual

KATHERINE E YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2270 JOLLY OAK RD STE 1, OKEMOS, MI 48864-6932
(517) 975-9475
(517) 975-9490
Mailing address
2270 JOLLY OAK RD STE 1, OKEMOS, MI 48864-6932
(517) 975-9475
(517) 975-9490

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005696
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292449800
FL
01
PA9102891
MEDICAL LICENSE #
FL
Enumeration date
09/14/2006
Last updated
08/23/2019
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