MEDICARE: ROBERT C YOUNG MD

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	207L00000X	Anesthesiology Physician	04-21490	KS
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	04-21490	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	616600	OTHER		FIRST GUARD
2	060593	OTHER	KS	BCBS

General Provider Information

NPI Number	:	1811924681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C YOUNG MD

Provider Business Mailing Address
First Line	:	PO BOX 969
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67201-0969
Country	:	US
Telephone Number	:	316-685-6236
Fax Number	:

Provider Business Practice Location Address
First Line	:	6611 E CENTRAL AVE
Second Line	:	STE C
City	:	WICHITA
State	:	KS
Zip	:	67206-1937
Country	:	US
Telephone Number	:	316-683-9429
Fax Number	:

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/11/2025

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Directions to “ ROBERT C YOUNG MD” Practice Location

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