Kyle Young, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Atlantis, FL

NPI

1376522136

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

1612-023 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-11

Last updated

2022-02-08