Individual
MS. KATHRYN LOSHARON YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
980 MAIN ST., FAIRPLAY, CO 80440-0723
(719) 836-3455
(719) 836-1792
Mailing address
PO BOX 723, 980 MAIN ST., FAIRPLAY, CO 80440-0723
(719) 836-3455
(719) 836-1792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
43262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07100753
—
CO
01
—
841202560-01
CO PACIFICARE
CO
01
—
YO634320
BLUE CROSS
CO
Enumeration date
08/03/2005
Last updated
07/08/2007
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