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Individual

ROBERT C YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6611 E CENTRAL AVE, STE C, WICHITA, KS 67206-1937
(316) 683-9429
Mailing address
PO BOX 969, WICHITA, KS 67201-0969
(316) 685-6236

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-21490
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-21490
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060593
BCBS
KS
01
616600
FIRST GUARD
Enumeration date
06/27/2006
Last updated
09/11/2025
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