Individual
DR. KYLIE M YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
303 S BROADWAY ST, GREENVILLE, OH 45331-1906
(937) 548-4242
Mailing address
303 S BROADWAY ST, GREENVILLE, OH 45331-1906
(937) 548-4242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A02018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A02018
OHIO BOARD OF SPEECH, LANGUAGE, PATHOLOGY & AUDIOLOGY
OH
Enumeration date
01/24/2018
Last updated
01/24/2018
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