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RICHARD YOUNG DPM NPI 1720081417


NPI Information

NPI: 1720081417
Provider Name: RICHARD YOUNG, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1830 DESTINY LN
SUITE 110
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
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Richard Young, DPM is a podiatrist in Bowling Green, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Richard Young, DPM NPI is 1720081417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1830 DESTINY LN
SUITE 110
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338

The enumeration date for this NPI number is 5/27/2005 and was last updated on 11/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery230KENTUCKYNo
2213E00000XPodiatrist230KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
180002306MEDICAIDKENTUCKY
290004391OTHERKENTUCKYMEDICAID DME
30713101MEDICARE PINKENTUCKY
4480029186OTHERKENTUCKYRAILROAD MEDICARE
53968900001MEDICARE NSCKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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