Individual
ROSA KIM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 302-2661
Mailing address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 302-2661
(405) 302-2670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4594
OK
Other
Enumeration date
06/03/2021
Last updated
02/06/2023
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