Individual
DR. KENNETH M YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N WILLSON AVE, STE 1003, BOZEMAN, MT 59715-3551
(406) 587-1245
(406) 587-1092
Mailing address
300 N WILLSON AVE, STE 1003, BOZEMAN, MT 59715-3551
(406) 587-1245
(406) 587-1092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3930
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021944
—
MT
Enumeration date
10/12/2005
Last updated
09/21/2007
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