Individual
KIM YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4923 APPLEGROVE LN, LOUISVILLE, KY 40218-6605
(818) 650-7696
Mailing address
4923 APPLEGROVE LN, LOUISVILLE, KY 40218-6605
(818) 650-7696
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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