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General NPI Number Information
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NPI Number | 1861526667
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Entity Type | Individual
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Provider Name | KRISTIE G YOUNG DO
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1130 MIDDLE CREEK RD STE 110
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3053
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Country | US
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Telephone | 865-446-3050
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Fax | 865-446-3135
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Provider Business Mailing Address
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Address Line | PO BOX 440189
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City | NASHVILLE
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State | TN
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Zip | 37244-0189
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6188
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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 | DO1737
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License Number State | TN
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