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Individual

MR. DARRELL L YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
18797 ALBERTA STREET, ONEIDA, TN 37841-2127
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
39899
TN
367500000X
Certified Registered Nurse Anesthetist
APN0000008863
TN
367500000X
Certified Registered Nurse Anesthetist
APN8863
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN39899
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507047
TN
05
3601205
TN
01
4103902
BCBS TN PROVIDER #
TN
01
4193316
BLUE CROSS/BLUE SHIELD
TN
05
74003955
KY
01
P00632164
RAILROAD MEDICARE PIN
TN
Enumeration date
03/21/2007
Last updated
01/14/2011
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