Individual
DR. JOSIAH W. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.,M.S.
Contact information
Practice address
2220 GRANDVIEW DR STE 120, FORT MITCHELL, KY 41017-1691
(859) 578-0393
(859) 815-8896
Mailing address
59 CAROTHERS RD, NEWPORT, KY 41071-2415
(859) 491-1010
(859) 292-3362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1771
KY
152W00000X
Optometrist
5910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100087640
—
KY
Enumeration date
01/28/2009
Last updated
01/24/2020
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