Individual
KERRY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 DELAFIELD DR, SUMMERVILLE, SC 29483-7069
(216) 246-0084
Mailing address
528 DELAFIELD DR, SUMMERVILLE, SC 29483-7069
(216) 246-0084
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
227183
SC
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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