Katheryn Lynn Young PHYSICIAN ASSISTANT

NPI 1760663926 - Physician Assistant - 363A00000X

NPI Details
NPI 1760663926
Gender Female
Enumeration Date 11/16/2007
Last Updated 03/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2901 N 4TH ST
LONGVIEW TX, 75605-5128, US
Phone (903) 758-1818
Fax
Business Location
100 N THOMAS RD
WHITE OAK TX, 75693-1310, US
Phone (903) 746-2625
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA05477
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According to our database, Katheryn Lynn Young PHYSICIAN ASSISTANT NPI is 1760663926, taxonomy code is 363A00000X and license number is PA05477, license state is located at Texas. Katheryn Lynn Young PHYSICIAN ASSISTANT physically located at 2901 N 4th St, Longview TX, 75605-5128. NPI Number Katheryn Lynn Young PHYSICIAN ASSISTANT has the Individual type.

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1760663926 NPI number is provided on an as is basis without warranty of any kind. 1760663926 is maintained by the National Plan & Provider Enumeration System. The contents of Katheryn Lynn Young PHYSICIAN ASSISTANT are for informational purposes only.