Young, Keith R

Young, Keith R is an individual health care provider with primary practice located at 40 V Twin Dr Ste 205 , Gettysburg PA 17325-7878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Young, Keith R can be contacted via phone (717) 339-2790.

Contact Information

Primary practice address
40 V Twin Dr Ste 205 Gettysburg PA 17325-7878
Phone: (717) 339-2790
Fax: (717) 798-3162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X MD443901 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD443901 Pennsylvania

Profile Details

NPI number 1629089859
LBN Legal business name Young, Keith R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 28th, 2022 - about 3 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 1629089859 NPPES
Pennsylvania MEDICAID 1026294700003

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