MS. KIM KORY YOUNG (NPI# 1083160790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083160790 |
| Entity Type | Individual |
| Full Name | MS. KIM KORY YOUNG |
| Other Name | KIM K YOUNG |
| Credential | M.HTECHICIAN/L.L.MSW |
| Practice Address |
116 N Johnson St Pontiac MI 48341-1330 |
| Mailing Address |
116 N Johnson St Pontiac MI 48341 |
| Practice Telephone | 2486134098 |
| Practice Fax Number | 2486224081 |
| Mailing Telephone | 2486134098 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1-04781 | MI | Behavioral Health & Social Service Providers |
| Y | 247200000X | Technician, Other | L148347 | MI | Technologists, Technicians & Other Technical Service Providers |
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH | L148347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285142331 | Kim E Young | Social Worker | 1 Andrews Ave, Falmouth, ME 04105-1901 | 2018-01-10 |
| 1356674519 | Kim Samuel Young | Family Medicine | 1101 S Belmont Ave Ste 102, Okmulgee, OK 74447-6315 | 2009-09-04 |
| 1992074892 | Kim Young | Pharmacist | 2295 E Bay Dr, Largo, FL 33771-2324 | 2011-12-21 |
| 1982939104 | Kim Young | Psychologist | 1540 Purdue Dr, Suite 300, Fayetteville, NC 28303-5509 | 2009-10-06 |
| Street Address |
116 N JOHNSON ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821522756 | Beverly Edwards | Technician, Other | 820 Golf Dr, 302, Pontiac, MI 48341-2368 | 2017-04-18 |
| 1194276394 | Brent Sykes | Technician, Other | 1172 Eckman Ave, Pontiac, MI 48342-1933 | 2016-10-23 |
| 1184173932 | Roshaunda Lance | Technician, Other | 453 Linda Vista Dr, Pontiac, MI 48342-1745 | 2016-09-21 |
| 1538617550 | Ravon Johnson | Technician, Other | 287 S Marshall St, Pontiac, MI 48342-3247 | 2016-09-19 |
| 1437605763 | Renee V Shorter | Technician, Other | 275 Ferry Ave, Pontiac, MI 48341-3215 | 2016-08-28 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1245683663 | Helen Marie Coats | Technician, Other | 464 Nevada Ave, Pontiac, MI 48341-2549 | 2016-07-20 |
| 1801249230 | Kathryn Heifferon | Technician, Other | 122 Seville Blvd, Pontiac, MI 48340-1016 | 2016-07-20 |
| 1649623117 | Serita Arrowood | Technician, Other | 882 Kenilworth Ave, Pontiac, MI 48340-3104 | 2016-07-19 |
| 1407208598 | Stephanie Warren | Technician, Other | 1136 Herrington Ln, Pontiac, MI 48342-1835 | 2016-07-12 |
| Find all providers in PONTIAC | ||||
Please comment or provide details below to improve the information on MS. KIM KORY YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.