MEDICARE: KAY B. YOUNG AU.D.

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	231H00000X	Audiologist	1309	NC

General Provider Information

NPI Number	:	1194787317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAY B. YOUNG AU.D.

Provider Business Mailing Address
First Line	:	1403 N LAFAYETTE ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-3406
Country	:	US
Telephone Number	:	704-482-1447
Fax Number	:	704-481-9744

Provider Business Practice Location Address
First Line	:	1403 N LAFAYETTE ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-3406
Country	:	US
Telephone Number	:	704-482-1447
Fax Number	:	704-481-9744

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	11/30/2023

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