MEDICARE: KAYLEE YOUNG

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1164357745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE YOUNG

Provider Business Mailing Address
First Line	:	20569 WATERFORD RD
Second Line	:
City	:	FREDERICKTOWN
State	:	OH
Zip	:	43019-9321
Country	:	US
Telephone Number	:	740-263-0728
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 COSHOCTON AVE
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-1900
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-480-7578

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ KAYLEE YOUNG ” Practice Location

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