| NPI | 1154397636 |
|---|---|
| Former Name | KIMBERLY A. YOUNTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085001665) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-001665) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2026-02-10 |