Individual
DR. LEO KL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 DOBBS DR, STATESVILLE, NC 28625-1942
(704) 880-0388
(336) 679-6752
Mailing address
116 DOBBS DR, STATESVILLE, NC 28625-1942
(704) 880-0388
(336) 679-6752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
96-00787
NC
282N00000X
General Acute Care Hospital
Primary
9600787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136N4
—
NC
Enumeration date
08/23/2005
Last updated
02/23/2012
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