Young, Leo Kl

Young, Leo Kl is an sole proprietor health care provider with primary practice located at 116 Dobbs Dr , Statesville NC 28625-1942. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is his primary health care specialty. Young, Leo Kl can be contacted via phone (704) 880-0388.

Contact Information

Primary practice address
116 Dobbs Dr Statesville NC 28625-1942
Phone: (704) 880-0388
Fax: (336) 679-6752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 96-00787 North Carolina
Hospitals / General Acute Care Hospital 282N00000X 9600787 North Carolina

Profile Details

NPI number 1902899271
LBN Legal business name Young, Leo Kl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Feb 23rd, 2012 - about 13 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 1902899271 NPPES
North Carolina MEDICAID 89136N4

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