Individual
KEITH P YOUNG
Active
Individual
KEITH P YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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