Young, Stephen Kyle

Young, Stephen Kyle is an individual health care provider with primary practice located at 120 Executive Park , Louisville KY 40207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Young, Stephen Kyle can be contacted via phone (502) 855-7200.

Contact Information

Primary practice address
120 Executive Park Louisville KY 40207
Phone: (502) 855-7200
Fax: (502) 855-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01068095A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 43136 Kentucky

Profile Details

NPI number 1679615686
LBN Legal business name Young, Stephen Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 13th, 2024 - about 2 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 1679615686 NPPES
Other 9806467 AETNA PIN
Other 000000834292 AETNA PIN
Other CS1429300150 AETNA PIN
MEDICAID 200959940 AETNA PIN
MEDICAID 7100080590 AETNA PIN

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