Individual
DR. STEPHEN KYLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01068095A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
43136
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000834292
ANTHEM ID
—
05
—
200959940
—
IN
05
—
7100080590
—
KY
01
—
9806467
AETNA PIN
—
01
—
CS1429300150
CARESOURCE ID
—
Enumeration date
02/13/2007
Last updated
02/13/2024
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