Individual
KEITH P YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Mailing address
400 N STATE OF FRANKLIN RD RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15563
TN
207RP1001X
Pulmonary Disease Physician
15563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477599223
GROUP NPI
—
01
—
51510627
BLUE CROSS OF AL
AL
05
—
529912020
—
AL
Enumeration date
11/16/2005
Last updated
01/31/2025
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