Doctor Name: | MS. KIMBERLY ANN YOUNG-CONNER |
NPI Number: | 1093806416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | LJ0000152 |
Business Practice Address: | 49 Fallon Ave. Nemours Pediatrics Seaford Seaford, DE - 199731577 |
Business Phone Number: | 3026295030 |
Business Fax Number: | 3026295035 |
Mailing Address: | Po Box 191, Provider Enrollment Dept ROCKLAND |
State: | DE |
Postal Code: | 197320191 |
Phone Number: | 3026516212 |
Fax Number: | 3026514945 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | LJ0000152 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |