Coleman Milton Young III MD

NPI 1073686705 - Internal Medicine - 207R00000X

NPI Details
NPI 1073686705
Gender Male
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1015 WEST CHESTNUT STREET
PARK DUVALLE COMMUNITY HEALTH CENTER AT CITY VIEW
LOUISVILLE KY, 40203, US
Phone (502) 584-2992
Fax (502) 584-3715
Business Location
3015 WILSON AVE
LOUISVILLE KY, 40211-1969, US
Phone (502) 774-4401
Fax (502) 772-8984
Toxanomy
Taxonomy Code 207R00000X
License State Kentucky
License Number 13295
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According to our database, Coleman Milton Young III MD NPI is 1073686705, taxonomy code is 207R00000X and license number is 13295, license state is located at Kentucky. Coleman Milton Young III MD physically located at 1015 West Chestnut Street, Louisville KY, 40203. NPI Number Coleman Milton Young III MD has the Individual type.

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1073686705 NPI number is provided on an as is basis without warranty of any kind. 1073686705 is maintained by the National Plan & Provider Enumeration System. The contents of Coleman Milton Young III MD are for informational purposes only.