Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 30020097 | OH |
NPI | 1093994527 |
---|---|
Provider Name | Dr. Kevin D. Younkin |
First Address | Westerville, OH 43082-6909 |
Second Address | Westerville, OH 43082-6909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2007 |
Last Update Date | 01/11/2007 |