Individual
BREANA SKYE YOUNGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE L119, LEXINGTON, KY 40536-5152
(859) 257-3253
(859) 323-1203
Mailing address
740 S LIMESTONE STE L119, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3635
KY
363AM0700X
Medical Physician Assistant
PA3635
KY
363AS0400X
Surgical Physician Assistant
PA3635
KY
Other
Enumeration date
05/10/2024
Last updated
07/01/2025
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