NPI 1932281102

Kelly Lynn Youngerman, IDC

Practitioner Independent Duty Corpsman Goose Creek, SC

Practice location

Address: 110 Nnptc Cir, Goose Creek, SC 29445-6314
Phone: (843) 794-6228

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1932281102
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2006
Record last updated: 15 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.