Doctor Name: | MR. STEVEN KENNETH YOUNG |
NPI Number: | 1184615460 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSA |
License Number: | SA 00157 |
Business Practice Address: | 2030 280th Pl Ne Carnation, WA - 980148218 |
Business Phone Number: | 4253334434 |
Business Fax Number: | 4253334462 |
Mailing Address: | 2030 280th Pl Ne, CARNATION |
State: | WA |
Postal Code: | 980148218 |
Phone Number: | 4253334434 |
Fax Number: | 4253334462 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | SA 00157 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |