Individual
DR. LINDA KAY YOUNGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
735 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-7551
(918) 256-3703
Mailing address
PO BOX 326, VINITA, OK 74301-0326
(918) 256-7551
(918) 256-3703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5H41
MO
207Q00000X
Family Medicine Physician
2410
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355260A
—
KS
05
—
243419306
—
MO
01
—
431704371
TAX ID FOR FREEMAN
—
Enumeration date
04/13/2006
Last updated
06/26/2013
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