Dr. Keith Young
Family Doctor
205 S Mccrary St
Woodbury
, Tennessee 37190-1439
Dr. Keith Young
Family Doctor
205 S Mccrary St
Woodbury
, Tennessee 37190-1439
(615) 563-4582
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Keith Young
- 205 S Mccrary St
- Woodbury, TN
- Zip : 37190-1439
- Fax : (615) 563-4582
- Phone : (615) 563-2891
Second Address
- Dr. Keith Young
- 205 S Mccrary St
- Woodbury, TN
- Zip : 37190-1439
- Fax : (615) 563-4582
- Phone : (615) 563-2891
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD34850 | TN |
National Provider Identifier
| NPI | 1003854258 |
|---|---|
| Provider Name | Dr. Keith Young |
| First Address | Woodbury, TN 37190-1439 |
| Second Address | Woodbury, TN 37190-1439 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 10/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10066741 | AMERIGROUP/TENNCARE (01) | |
| 3865024 | (05) | TN |
| 4019970 | BLUE CROSS BLUE SHIELD TN (01) | TN |
| E35951 | (02) | TN |
| TN0101 | AMERICHOICE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.