Young, Kyle Wilson

Young, Kyle Wilson is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Young, Kyle Wilson can be contacted via phone (540) 536-8750.

Contact Information

Primary practice address
1840 Amherst St Winchester VA 22601-2808
Phone: (540) 536-8750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101102728 Virginia

Profile Details

NPI number 1326036922
LBN Legal business name Young, Kyle Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 8th, 2021 - about 5 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 1326036922 NPPES
West Virginia MEDICAID 1809401000
West Virginia MEDICAID 007248857
West Virginia MEDICAID 402128200
West Virginia Other P00006925

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