Individual
KYLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1317 N ELM ST, SUITE 1B, GREENSBORO, NC 27401-1033
(336) 274-4285
(336) 268-9062
Mailing address
PO BOX 13005, GREENSBORO, NC 27415-3005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600284
UNITED HEALTHCARE
NC
01
—
2087
PARTNERS
NC
01
—
70523
MEDCOST
NC
01
—
89796
BCBS OF NC DRI
NC
01
—
89811
BCBS
NC
05
—
8989811
—
NC
Enumeration date
05/25/2006
Last updated
10/23/2007
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