Kathryn L Young (NPI# 1952302747, PAC ID# 2769553809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1952302747 |
PAC ID by PECOS | 2769553809 |
Professional Enrollment ID | I20080618000260 |
Full Name | Kathryn L Young |
Organization Legal Name | TIMBERLINE CLINIC INC |
Address |
980 Main St Fairplay CO 80440 |
Phone Number | 7198363455 |
Gender | F |
Graduation Year | 1976 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8325119464 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
980 Main St, Fairplay, CO 80440 | 7198363455 | TIMBERLINE CLINIC INC |
Organization Legal Name | TIMBERLINE CLINIC INC |
Physicians | 1 |
Street Address |
980 MAIN ST |
City | FAIRPLAY |
State | CO |
Zip | 80440 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julia F Anderson | Physical Therapy | 540 Front St, Fairplay, CO 80440 | |
Kelly M Halligan | Audiologist | Gkh Holdings | 620 Main St, Fairplay, CO 80440 |
City | FAIRPLAY |
Zip Code | 80440 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FAIRPLAY + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.