Individual
RICHARD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
Mailing address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
230
KY
213ES0131X
Foot Surgery Podiatrist
230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480029186
RAILROAD MEDICARE
KY
05
—
80002306
—
KY
01
—
90004391
MEDICAID DME
KY
Enumeration date
05/27/2005
Last updated
11/11/2008
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