Organization
KEVIN W YOUNG, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN W YOUNG MD (PRESIDENT)
(337) 783-5262
Entity
Organization
Contact information
Practice address
325 N AVENUE F, CROWLEY, LA 70526-5042
(337) 783-5262
(337) 783-5264
Mailing address
325 N AVENUE F, CROWLEY, LA 70526-5042
(337) 783-5262
(337) 783-5264
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
09967R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1997846
—
LA
Enumeration date
08/31/2006
Last updated
08/22/2020
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