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NPI Code Detail

MEDICARE: KATELYN YOUNG

MEDICARE: KATELYN 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1780577536
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN YOUNG
Provider Business Mailing Address
First Line : 5040 VILLA LINDE PKWY STE A
Second Line :
City : FLINT
State : MI
Zip : 48532-3445
Country : US
Telephone Number : 810-399-9931
Fax Number : 810-382-2022
Provider Business Practice Location Address
First Line : 5040 VILLA LINDE PKWY STE A
Second Line :
City : FLINT
State : MI
Zip : 48532-3445
Country : US
Telephone Number : 810-399-9931
Fax Number : 810-382-2022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2025
Last Update Date : 04/21/2026

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Directions to “ KATELYN YOUNG ” Practice Location

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