Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY LYNN YOUNGERMAN, IDC
Active Sole ProprietorMR. KELLY LYNN YOUNGERMAN, IDC is a Independent Duty Corpsman healthcare provider located in GOOSE CREEK, South Carolina. NPI 1932281102 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · GOOSE CREEK, SC
Registration Details
- NPI Number
- 1932281102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.78237887894 yrs)
- Last Updated
- Dec 15, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 NNPTC CIRGOOSE CREEK, SC, 294456314Browse SC providers · Browse ZIP 29445
- Phone
- 8437946228
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in GOOSE CREEK, SC
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY MACON | SFIDC | 1164499513 |
| MR. CHRISTOPHER M FRANKLIN | — | 1639675341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.