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General NPI Number Information
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NPI Number | 1184291585
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Entity Type | Individual
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Provider Name | KATE I YOUNG MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2409 RING RD STE 106
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5939
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Country | US
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Telephone | 270-706-5691
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Fax | 270-982-5651
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Provider Business Mailing Address
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Address Line | 171 E 264TH ST
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City | EUCLID
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State | OH
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Zip | 44132-1209
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Country | US
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Telephone | 270-706-5691
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12897
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 61015
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License Number State | KY
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