Doctor Name: | KEITH P YOUNG |
NPI Number: | 1417939414 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 12784 |
Business Practice Address: | 401 Lowell Dr Se Suite 19 Huntsville, AL - 358013748 |
Business Phone Number: | 2565331528 |
Business Fax Number: | 2565331531 |
Mailing Address: | 401 Lowell Dr Se, Suite 19 HUNTSVILLE |
State: | AL |
Postal Code: | 358013748 |
Phone Number: | 2565331528 |
Fax Number: | 2565331531 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |