Individual
DR. KATE DURHAM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
(270) 412-2787
Mailing address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10933
KY
1223G0001X
General Practice Dentistry
10933
KY
390200000X
Student in an Organized Health Care Education/Training Program
10933
KY
Other
Enumeration date
06/29/2023
Last updated
04/25/2024
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