MR. KEVIN KENDELL YOUNG (NPI# 1093375933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093375933 |
| Entity Type | Individual |
| Full Name | MR. KEVIN KENDELL YOUNG |
| Credential | PA-C |
| Practice Address |
330 White Oak Rd Fredericksburg VA 22405-2792 |
| Mailing Address |
Po Box 2454 Elizabethtown NC 28337-2454 |
| Practice Telephone | 5403732424 |
| Mailing Telephone | 9108761870 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-006725 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625882 | Kevin Jing Young | Physical Therapist | 2300 W Beverly Blvd Ste 202, Montebello, CA 90640-2380 | 2019-12-06 |
| 1639547870 | Kevin Young | Technician/Technologist | 2915 N Broadway St, Chicago, IL 60657-5313 | 2015-09-04 |
| 1174640155 | Kevin Edward Young | Dentist | 9391 S Old State Rd, Lewis Center, OH 43035 | 2007-03-23 |
| 1740356013 | Kevin L Young | Counselor | 2312 Peachford Rd, Suite C, Atlanta, GA 30338-7143 | 2006-11-28 |
| 1356312912 | Kevin W. Young | Psychiatry & Neurology | 315 E 9th St, Crowley, LA 70526-3707 | 2006-01-31 |
| 1609489053 | Kevin R Young | Pharmacist | 7065 La Palma Ave, Buena Park, CA 90620-2424 | 2020-08-26 |
| 1891250270 | Kevin Christopher Young | Psychologist | 11227 Lockwood Dr, Silver Spring, MD 20901-4554 | 2019-02-10 |
| 1720413982 | Kevin Wayne Young | Occupational Therapist | 540 S Main St, Mount Angel, OR 97362-9540 | 2013-09-06 |
| 1871844621 | Kevin Patrick Young | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital/ Institute of Living, Hartford, CT 06106-3309 | 2012-09-19 |
| 1679830343 | Kevin Young | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-04-18 |
| Street Address |
330 WHITE OAK RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588853824 | Valerie L Jaskowski | Nurse Practitioner | 330 White Oak Rd, Fredericksburg, VA 22405-2792 | 2007-10-23 |
| 1972786200 | Jacqueline Breen | Family Medicine | 330 White Oak Rd, Fredericksburg, VA 22405-2792 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| Find all providers in zip 22405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265907521 | Meghan Marie Ellden | Physician Assistant | 125 Olde Greenwich Dr Ste 220, Fredericksburg, VA 22408-4010 | 2018-10-12 |
| 1578912424 | Jenna Kollat | Physician Assistant | 1101 Sam Perry Blvd Ste 211, Fredericksburg, VA 22401-4465 | 2016-06-10 |
| 1386090561 | Mukul Mallick | Physician Assistant | 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 | 2016-05-06 |
| 1457690489 | James Michael Crawford | Physician Assistant | 1031 S State Highway 16, Fredericksburg, TX 78624-4472 | 2013-02-12 |
| 1023378833 | Juliet Dameron | Physician Assistant | 1601 Olde William Street, Suite B, Fredericksburg, VA 22401-5525 | 2012-05-25 |
| 1124399951 | Chelsea Marie Garfield | Physician Assistant | 3 Rosemont Ct, Fredericksburg, VA 22405-6140 | 2012-01-25 |
| 1154622967 | Elizabeth Marie Greene | Physician Assistant | Bettermed Urgent Care, 10004 Southpoint Pkwy, Fredericksburg, VA 22407 | 2010-11-10 |
| 1295986248 | Megan Lynn Staudt | Physician Assistant | 140 Industrial Loop, Suite 100, Fredericksburg, TX 78624-5456 | 2008-10-08 |
| 1083734578 | Michelle Ann O'connor | Physician Assistant | 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 | 2007-03-30 |
| 1043346992 | Natalie Gergler | Physician Assistant | 2216 Princess Anne St Ste 204, Fredericksburg, VA 22401-3300 | 2007-02-26 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22405 |
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| 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.