Individual
DR. KENAN WHITAKER YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101265048
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD465635
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME137942
FL
Other
Enumeration date
03/28/2011
Last updated
07/29/2025
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