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NPI Code Detail

MEDICARE: KAITLYN YOUNG

MEDICARE: KAITLYN 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
1104100000XSocial Worker6059GAL

General Provider Information

NPI Number : 1770281081
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN YOUNG
Provider Business Mailing Address
First Line : 1700 5TH AVE S
Second Line :
City : JASPER
State : AL
Zip : 35501-5334
Country : US
Telephone Number : 205-530-6007
Fax Number :
Provider Business Practice Location Address
First Line : 1700 5TH AVE S
Second Line :
City : JASPER
State : AL
Zip : 35501-5334
Country : US
Telephone Number : 205-530-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “ KAITLYN YOUNG ” Practice Location

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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.

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