DR. KISHA ROCHELLE YOUNG M.D. NPI 1386772952

NPI Information

NPI: 1386772952
Provider Name: DR. KISHA ROCHELLE YOUNG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4105 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28105
Phone: (704) 384-9920
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DR. Kisha Rochelle Young, M.D. is a family medicine in Mint Hill, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kisha Rochelle Young, M.D. NPI is 1386772952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4105 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28105-633
Phone: (704) 384-9920
Fax: (704) 384-9925

The enumeration date for this NPI number is 3/2/2007 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		134137	NORTH CAROLINA	No
2	207Q00000X	Family Medicine		200701684	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5912253	MEDICAID	NORTH CAROLINA
2	134137	OTHER	NORTH CAROLINA	MD LIMITED TRAINING LIC

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: 5/5/2024

NPI Synchronization or Removal

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