Young, Keith P

Young, Keith P is an individual health care provider with primary practice located at 400 N State Of Franklin Rd Rm 2746 , Johnson City TN 37604-6035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Young, Keith P can be contacted via phone (423) 431-2727.

Contact Information

Primary practice address
400 N State Of Franklin Rd Rm 2746 Johnson City TN 37604-6035
Phone: (423) 431-2727
Fax: (423) 431-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 15563 Tennessee

Profile Details

NPI number 1417939414
LBN Legal business name Young, Keith P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417939414 NPPES
Other 1477599223 GROUP NPI
MEDICAID 529912020 GROUP NPI
Other 51510627 GROUP NPI

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