MEDICARE: DR. PAUL HENRY YOUNG M.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	207T00000X	Neurological Surgery Physician	R7811	MO

General Provider Information

NPI Number	:	1215931100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HENRY YOUNG M.D.

Provider Business Mailing Address
First Line	:	10012 KENNERLY RD
Second Line	:	STE 400
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2197
Country	:	US
Telephone Number	:	314-543-5999
Fax Number	:	314-543-5994

Provider Business Practice Location Address
First Line	:	10012 KENNERLY RD
Second Line	:	SUITE 400
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2197
Country	:	US
Telephone Number	:	314-543-5999
Fax Number	:	314-543-5994

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/14/2017

Similar Medicare Providers

1811721319 — SOFIYA ALEXIS PRUSS PA-C
Practice Location Address:

10012 KENNERLY RD STE 102
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-543-5911
Practice Fax: 314-543-5914

1366891137 — EMILY GRACE PETERS NP
Practice Location Address:

10012 KENNERLY RD STE 300
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-692-2807
Practice Fax: 314-991-0727

1699495770 — KASSANDRA WILLIAMS PA-C
Practice Location Address:

10012 KENNERLY RD STE 300
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-692-2807
Practice Fax: 314-991-0727

1669262564 — ALLYSON FISCHER FNP
Practice Location Address:

10012 KENNERLY RD STE 300
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-842-0602
Practice Fax:

1154327534 — DR. KENNETH GERALD SMITH M.D.
Practice Location Address:

10012 KENNERLY RD STE 406
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-525-1224
Practice Fax: 314-525-4957

1881690931 — DR. SEIICHI NODA MD
Practice Location Address:

10012 KENNERLY RD , SUITE 403
SAINT LOUIS, MO
63128-2197

Practice Phone: 314-880-6676
Practice Fax: 314-842-4372

Directions to “ DR. PAUL HENRY YOUNG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.