Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 27270 | NE |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 27270 | NE |
NPI | 1437371721 |
---|---|
Provider Name | Benjamin Davies Young |
First Address | Wichita, KS 67206-3405 |
Second Address | Wichita, KS 67235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 18/07/2019 |