Young, Kevin Robert

Young, Kevin Robert is an individual health care provider with primary practice located at 1717 Oak Park Blvd Fl 2 , Lake Charles LA 70601-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Young, Kevin Robert can be contacted via phone (337) 494-3278.

Contact Information

Primary practice address
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990
Phone: (337) 494-3278
Fax: (337) 494-3240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 12469R Louisiana

Profile Details

NPI number 1861599847
LBN Legal business name Young, Kevin Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 28th, 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 1861599847 NPPES
Louisiana Other MD.12469R STATE LICENSE
Louisiana MEDICAID 1535893 STATE LICENSE

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