National Provider Identifier

Keith B Young, RPA-C

Keith B Young, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Allegany, NY and a listed phone number of (716) 981-1410.

NPI 1346220274Allegany, NYPhysician Assistant

Profile Overview

NPI
1346220274
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
January 18, 2006
Last Updated
March 26, 2019

Practice Location

  • 112 W Main St
  • Allegany, NY 14706-1204

Phone: (716) 981-1410

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1346220274
Entity Type
Individual
Last Name
Young
First Name
Keith
Middle Name
B
Name Prefix
Mr.
Credential
RPA-C
Mailing Street Address
112 W Main St
Mailing City
Allegany
Mailing State
NY
Mailing ZIP Code
14706-1204
Mailing Country
US
Mailing Phone
(716) 373-0700
Practice Street Address
112 W Main St
Practice City
Allegany
Practice State
NY
Practice ZIP Code
14706-1204
Practice Country
US
Practice Phone
(716) 981-1410
Enumeration Date
January 18, 2006
Last Updated
March 26, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02250255 (NY)