Individual
DR. KERRY VINCE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1846 1ST ST, IDAHO FALLS, ID 83401-4415
(208) 528-7400
Mailing address
1846 1ST ST, IDAHO FALLS, ID 83401-4415
(208) 528-7400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-791
ID
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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