MEDICARE: KESEAN YOUNGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912615709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESEAN YOUNGER

Provider Business Mailing Address
First Line	:	PO BOX 22504
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44302-0504
Country	:	US
Telephone Number	:	234-238-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 17TH ST SW
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-2315
Country	:	US
Telephone Number	:	234-238-1211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	11/09/2022

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Directions to “ KESEAN YOUNGER ” Practice Location

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