Healthcare Provider Details

I. General information

NPI: 1003038233
Provider Name (Legal Business Name): KATHRYN S. YOUNG, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW EXPRESSWAY ST SUITE #830
OKLAHOMA CITY OK
73112-4493
US

IV. Provider business mailing address

3400 NW EXPRESSWAY ST SUITE #830
OKLAHOMA CITY OK
73112-4493
US

V. Phone/Fax

Practice location:
  • Phone: 405-945-4856
  • Fax: 405-945-4856
Mailing address:
  • Phone: 405-945-4856
  • Fax: 405-945-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRTYN S YOUNG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 405-945-4856